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Versus XR (er) Prior Authorization Request Form Caterpillar Prescription Drug Benefit Phone: 8772287909 Fax: 8004247640 MEMBERS LAST NAME: MEMBERS FIRST NAME: Instructions: Please fill out all applicable
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01
Consult with your doctor or pharmacist before starting to take Envarsus XR ER.
02
Read the medication guide provided by your pharmacist to understand the dosing instructions and potential side effects of Envarsus XR ER.
03
Take Envarsus XR ER exactly as prescribed by your doctor. Do not take more or less than the prescribed dose.
04
Swallow the tablet whole with water. Do not crush, chew, or split the tablet.
05
Take Envarsus XR ER consistently at the same time every day.
06
Do not skip doses. If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.
07
Do not stop taking Envarsus XR ER without consulting your doctor.
08
Store Envarsus XR ER at room temperature, away from moisture and heat.
09
Keep track of your supply of Envarsus XR ER and refill it in a timely manner.
10
If you experience any severe side effects or have concerns about your treatment, contact your doctor immediately.

Who needs envarsus xr er?

01
Envarsus XR ER is a prescription medication primarily used for organ transplant patients.
02
It is specifically prescribed to prevent organ rejection in adults receiving a kidney transplant.
03
Your doctor will determine if Envarsus XR ER is suitable for your condition based on several factors, including your overall health, compatibility with other medications, and the specific transplantation procedure you undergone.
04
Never use Envarsus XR ER without proper medical guidance and prescription.
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Envarsus XR ER (Extended Release) is a medication primarily used to prevent organ rejection in kidney transplant patients. It contains the active ingredient tacrolimus.
Healthcare providers, specifically nephrologists and transplant surgeons, must document and report the use of Envarsus XR ER for patients under their care for managing post-transplant immunosuppression.
Filling out Envarsus XR ER documentation typically involves recording patient identification, dosage, administration time, and any adverse reactions. Specific forms or electronic health records may have sections to complete.
The purpose of Envarsus XR ER is to provide a consistent and effective immunosuppressive therapy to reduce the risk of organ rejection after kidney transplantation.
Information that must be reported includes the patient's name, date of birth, transplant date, dosage prescribed, administration frequency, and any side effects or complications observed.
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