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Https://providers. Amerigroup.composed Oral Anticoagulants Prior Authorization of Benefits Form CONTAINS CONFIDENTIAL PATIENT INFORMATION Complete form in its entirety and fax to: Prior Authorization
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How to fill out novel oral anticoagulants prior
How to fill out novel oral anticoagulants prior
01
Check the patient's INR to ensure it's below 2.0 if switching from warfarin.
02
Review the patient's renal function to determine which dose of NOAC to prescribe.
03
Confirm the absence of any contraindications such as mechanical heart valves or severe renal impairment.
04
Educate the patient on the proper administration and dosing schedule of the NOAC.
Who needs novel oral anticoagulants prior?
01
Patients with non-valvular atrial fibrillation
02
Patients with a history of venous thromboembolism
03
Patients at risk for stroke or systemic embolism
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What is novel oral anticoagulants prior?
Novel oral anticoagulants prior are new generation anticoagulant medications used to prevent blood clots.
Who is required to file novel oral anticoagulants prior?
Healthcare providers and pharmacies are required to file novel oral anticoagulants prior.
How to fill out novel oral anticoagulants prior?
To fill out novel oral anticoagulants prior, healthcare providers need to provide detailed information about the patient and the prescribed medication.
What is the purpose of novel oral anticoagulants prior?
The purpose of novel oral anticoagulants prior is to ensure safe and appropriate use of these medications.
What information must be reported on novel oral anticoagulants prior?
Information such as patient demographics, medical history, prescribed medication, dosage, and duration of treatment must be reported on novel oral anticoagulants prior.
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