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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST FORMAnticonvulsants Phone: 2159914300Fax back to: 8662403712Health Partners Plans manages the pharmacy drug benefit for your patient. Certain requests
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How to fill out migraine prevention agents

01
Consult with a healthcare professional to determine if taking migraine prevention agents is appropriate for you.
02
Obtain a prescription for the migraine prevention agents from your healthcare professional.
03
Read the patient information leaflet that comes with the medication carefully.
04
Follow the dosage instructions provided by your healthcare professional.
05
Take the migraine prevention agents regularly as directed by your healthcare professional.
06
Monitor your symptoms and report any changes or side effects to your healthcare professional.
07
Keep track of the effectiveness of the medication in preventing migraine attacks.
08
Maintain regular follow-up appointments with your healthcare professional to assess the effectiveness of the medication and make any necessary adjustments.
09
Be aware of any potential interactions with other medications or substances, and inform your healthcare professional about any other medications or supplements you are taking.
10
Do not stop taking the migraine prevention agents without consulting your healthcare professional.

Who needs migraine prevention agents?

01
Individuals who experience frequent or severe migraines may benefit from migraine prevention agents.
02
Those who have not found relief from acute migraine treatments may also consider using prevention agents.
03
People with a history of migraine attacks that significantly impact their daily functioning or quality of life.
04
Individuals with specific triggers or patterns to their migraines, such as hormonal changes or certain food triggers.
05
Anyone who wishes to reduce the frequency or severity of their migraines may consider using migraine prevention agents.
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Migraine prevention agents are medications or treatments prescribed to reduce the frequency, severity, or duration of migraine headaches.
Healthcare providers and institutions that prescribe or administer migraine prevention agents are typically required to file relevant documentation.
To fill out migraine prevention agents, one should provide patient details, the specific migraine prevention medication used, dosage, frequency, and any additional relevant clinical notes.
The purpose of migraine prevention agents is to help patients manage their condition more effectively and to decrease the impact of migraines on their daily lives.
Information that must be reported includes the name of the patient, type of medication, dosage, administration route, treatment duration, and any observed side effects.
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