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PRIOR AUTHORIZATION REQUEST: Casanova (cabotegravir and rilpivirine) Please fax form and required documents to Amid Care: 16467860997 MEMBER INFORMATION Amid Care ID #:Name: Phone #: Name/Title:Address: PRESCRIBER

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How to fill out cabenuva cabotegravir and rilpivirine

01

You will receive your first dose of cabotegravir and rilpivirine injections from a healthcare professional in a medical facility.

02

The injections will be given in the buttocks, alternating sides each time.

03

Make sure to keep all your appointments for follow-up injections as prescribed by your healthcare provider.

04

If you miss an appointment, reschedule it as soon as possible.

05

Keep track of any side effects you may experience and report them to your healthcare provider.

Who needs cabenuva cabotegravir and rilpivirine?

01

Cabenuva cabotegravir and rilpivirine is for adults who have been on a stable antiretroviral regimen for at least six months with no history of treatment failure and no known or suspected resistance to either cabotegravir or rilpivirine.

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What is cabenuva cabotegravir and rilpivirine?

Cabenuva is an injectable medication that combines cabotegravir and rilpivirine. It is used for the treatment of HIV in adults.

Who is required to file cabenuva cabotegravir and rilpivirine?

Patients prescribed Cabenuva for HIV treatment are required to adhere to the administration schedule as advised by their healthcare provider.

How to fill out cabenuva cabotegravir and rilpivirine?

Cabenuva is administered as an injection by a healthcare professional, typically once a month or every two months after an initiation phase.

What is the purpose of cabenuva cabotegravir and rilpivirine?

The purpose of Cabenuva is to provide a long-acting treatment option for managing HIV and helping to maintain viral suppression.

What information must be reported on cabenuva cabotegravir and rilpivirine?

Healthcare providers must report patient adherence, any adverse effects, and laboratory results, such as viral load and CD4 counts, to monitor the treatment effectiveness.

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