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Prescriber Criteria Form
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Reeves 2022 PA Fax 3875A v1 010122.docx
Reeves (selpercatinib)
Coverage Determination
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How to fill out oncologyretevmo selpercatinib capsules
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Wash your hands before handling the capsules.
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Take the capsules with a full glass of water, either with or without food.
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Follow the dosage instructions provided by your doctor or pharmacist.
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Who needs oncologyretevmo selpercatinib capsules?
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Patients diagnosed with advanced or metastatic non-small cell lung cancer who have a specific genetic mutation called RET fusion
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Patients who have been prescribed by their healthcare provider after other treatments have not been effective
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Oncologyretevmo selpercatinib capsules are a medication used in the treatment of certain types of cancer, specifically for patients with specific genetic mutations.
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The purpose of oncologyretevmo selpercatinib capsules is to target specific genetic mutations in cancer cells to inhibit their growth and spread.
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Information such as patient demographics, medical history, dosage instructions, and any side effects must be reported on oncologyretevmo selpercatinib capsules.
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