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Justify (Deluded;) Prior Authorization Request Form Caterpillar Prescription Drug Benefit Phone: 8772287909 Fax: 8004247640 Instructions: Please fill out all applicable sections completely and legibly.
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01
Wash your hands thoroughly before starting.
02
Gently roll the pen between your hands 10 times to mix the liquid inside.
03
Attach a new needle to the pen and remove the outer needle cap.
04
Prime the pen by dialing 2 units and pressing the injection button until 2 units appear in the dose counter.
05
Choose your injection site, which can be your stomach area, thigh, or upper arm.
06
Clean the injection site with an alcohol pad and let it dry.
07
Pinch a fold of skin and insert the needle at a 90-degree angle.
08
Push the injection button all the way down and hold it for 10 seconds.
09
Remove the needle from your skin and safely dispose of it.
10
Record the date and time of the injection in your diabetes diary.

Who needs xultophy degludec?

01
Xultophy degludec is a medication used by adults with type 2 diabetes.
02
It is typically prescribed for individuals who are unable to control their blood sugar levels with other diabetes medications.
03
It is important to consult with a healthcare professional to determine if Xultophy degludec is right for you.
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Xultophy degludec is a medication used to treat type 2 diabetes.
Healthcare providers are required to prescribe xultophy degludec for patients with type 2 diabetes.
Xultophy degludec is typically administered through injections. Patients should follow the instructions provided by their healthcare provider.
Xultophy degludec helps to control blood sugar levels in patients with type 2 diabetes by combining two different medications.
Information that must be reported includes dosage, frequency of administration, and any side effects experienced.
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