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Burosumabtwza (Crystal) Provider Order Formation INFORMATION Date:Patient Name:DOB:ICD10 code (required): NKDAICD10 description:Allergies:Patient Status:Weight lbs/kg:New to TherapyContinuing TherapyNext
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Burosumab-twza Crysvita - ivx is a prescription medicine used to treat X-linked hypophosphatemia (XLH) in adults and children 6 months of age and older.
Healthcare providers or facilities who administer Burosumab-twza Crysvita - ivx are required to file the necessary documentation.
Burosumab-twza Crysvita - ivx should be filled out according to the instructions provided by the prescribing healthcare provider or facility.
The purpose of Burosumab-twza Crysvita - ivx is to help manage and treat X-linked hypophosphatemia (XLH) in patients.
Information such as patient demographics, dosage administered, date of administration, and any side effects experienced must be reported on Burosumab-twza Crysvita - ivx.
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