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Clinical Policy: Glecaprevir/Pibrentasvir (Margret) Reference Number: HIM.PA.SP36 Effective Date: 08.01.17 Last Review Date: 08.20 Line of Business: HIM×Revision Losses Important Reminder at the
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How to fill out clinical policy glecaprevirpibrentasvir mavyret

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To fill out the clinical policy for glecaprevirpibrentasvir (Mavyret), follow these steps:
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Start by gathering all the necessary information about the patient, including their medical history, liver function test results, and previous treatments for hepatitis C.
03
Consult the prescribing information for Mavyret to understand its indications, dosage, and potential interactions with other medications.
04
Assess the patient's eligibility for Mavyret therapy based on the clinical criteria provided in the policy. This may include factors such as the presence of specific genotypes of hepatitis C, the severity of liver disease, and any contraindications for Mavyret use.
05
Fill out the policy form with the patient's relevant information, ensuring accuracy and completeness. Include details such as the start date of therapy, duration of treatment, and any required monitoring parameters.
06
Review the completed policy form for any errors or omissions before submitting it for approval or further review.
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Keep a copy of the filled-out policy form for your records and provide a copy to the appropriate healthcare professionals involved in the patient's care.
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Please note that specific institutions or healthcare providers may have additional guidelines or requirements for filling out the clinical policy for Mavyret. It's important to follow any supplementary instructions provided by the relevant authority.

Who needs clinical policy glecaprevirpibrentasvir mavyret?

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Clinical policy glecaprevirpibrentasvir (Mavyret) is typically prescribed for individuals who meet certain criteria for hepatitis C treatment. This may include:
02
- Patients with chronic hepatitis C infection caused by specific genotypes of the hepatitis C virus (HCV)
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- Individuals with compensated or decompensated liver disease
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- Patients who have not received previous treatment for hepatitis C or have failed prior treatments
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- Adults aged 18 years and older
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It is important to note that the specific eligibility criteria for Mavyret therapy may vary depending on the guidelines set by healthcare institutions or regulatory authorities. Therefore, it's advisable to consult the relevant clinical policy or healthcare professionals for accurate and up-to-date information on who needs Mavyret.
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Clinical policy glecaprevirpibrentasvir mavyret is a treatment policy for Hepatitis C infection.
Healthcare providers who are treating patients with Hepatitis C using glecaprevirpibrentasvir (Mavyret) are required to file clinical policy.
Clinical policy forms can typically be filled out online or submitted through a healthcare provider's portal.
The purpose of the policy is to ensure proper documentation and monitoring of patients undergoing Hepatitis C treatment.
Information such as patient demographics, treatment plan, medication dosage, lab results, and follow-up appointments must be reported.
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