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Eteplirsen (Exodus 51)Prior Authorization Form/PrescriptionPLEASE COMPLETE ALL SECTIONS FOR A TIMELY Revalidate: Date Medication Required: Ship to: Physician Patients Home Other: Patient Information
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To fill out trillium - eteplirsen exondys, follow these steps:
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Obtain a prescription from your healthcare provider.
03
Purchase the medication from a registered pharmacy or healthcare provider.
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Read the instructions and dosage information provided by the manufacturer.
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Ensure you have all necessary supplies, such as a syringe or injector.
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Prepare the medication as per the instructions, ensuring proper reconstitution if required.
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Choose an appropriate injection site on your body.
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Clean the injection site using an alcohol swab.
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Administer the medication into the chosen injection site as per the recommended dosage.
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Dispose of any used needles or syringes safely.
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Keep track of any side effects or changes in your condition and report them to your healthcare provider.

Who needs trillium - eteplirsen exondys?

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Trillium - eteplirsen exondys is typically prescribed for individuals with Duchenne muscular dystrophy (DMD).
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This medication is specifically used for patients who have a confirmed mutation of the dystrophin gene amenable to exon 51 skipping.
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It is important to note that the suitability of trillium - eteplirsen exondys for an individual should be determined by a healthcare professional based on the patient's medical history and genetic test results.
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Trillium - eteplirsen exondys is a medication used to treat Duchenne muscular dystrophy.
Patients or their caregivers are required to file trillium - eteplirsen exondys prescription with their healthcare provider.
Trillium - eteplirsen exondys can be filled out by the prescribing healthcare provider and the pharmacy.
The purpose of trillium - eteplirsen exondys is to slow down the progression of Duchenne muscular dystrophy.
The dosage, frequency, and any side effects experienced must be reported on trillium - eteplirsen exondys.
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