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OPTIMA HEALTH PLAN PHARMACY/MEDICAL PRIOR AUTHORIZATION/STEPPED REQUEST Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other
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01
To fill out pafabrazymeiv iv infusion, follow these steps:
02
Gather all the necessary equipment, including the pafabrazymeiv vial, sterile syringe, infusion set, and alcohol swabs.
03
Wash your hands thoroughly with soap and water before starting the process.
04
Clean the rubber stopper of the pafabrazymeiv vial using an alcohol swab.
05
Take the sterile syringe and remove the cap. Pull back the plunger to the desired dosage.
06
Insert the needle into the rubber stopper of the pafabrazymeiv vial and push the plunger to inject air into the vial.
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Turn the vial upside down and slowly withdraw the required amount of pafabrazymeiv into the syringe.
08
Inspect the syringe for any air bubbles. If present, tap the syringe gently to remove them.
09
Attach the infusion set to the syringe and secure it properly.
10
Choose a suitable injection site on the patient's body and cleanse it with an alcohol swab.
11
Insert the needle of the infusion set into the patient's vein and start the infusion slowly.
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Monitor the patient's condition and adjust the infusion rate as necessary.
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Dispose of used materials properly and document the administration of pafabrazymeiv infusion.

Who needs pafabrazymeiv iv infusion only?

01
Pafabrazymeiv iv infusion is specifically indicated for patients with Fabry disease.
02
Fabry disease is a rare genetic disorder characterized by the deficiency of an enzyme called alpha-galactosidase A.
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Patients with this condition require regular pafabrazymeiv iv infusion to replenish the deficient enzyme levels and manage the symptoms of the disease.
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Only patients diagnosed with Fabry disease should receive pafabrazymeiv iv infusion.
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Pafabrazyme IV infusion is a medication administered exclusively through intravenous infusion to treat specific medical conditions.
Individuals or healthcare providers involved in the administration of pafabrazyme IV infusion may be required to file necessary documentation or reporting.
Filling out pafabrazyme IV infusion documentation typically involves providing patient details, dosage information, administration dates, and healthcare provider details.
The purpose of pafabrazyme IV infusion is to provide therapeutic benefits for patients by administering the medication directly into the bloodstream.
Reported information should include patient identification, date of administration, dosage, administration route, and any adverse reactions.
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