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Prior Authorization FormHypoglycemic: SGLT2 This form must be completed by the prescriber or authorized personnel. INCOMPLETE FORMS WILL BE RETURNED Member Information LAST NAME:FIRST NAME:ID NUMBER:DATE
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How to fill out sglt-2 inhibitors hi md

01
Consult with your medical doctor before starting the medication.
02
Follow the instructions provided on the prescription label.
03
Take the medication with or without food as directed by your doctor.
04
Drink plenty of fluids while taking sglt-2 inhibitors.
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Monitor your blood sugar regularly as advised by your doctor.

Who needs sglt-2 inhibitors hi md?

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Patients with type 2 diabetes who are unable to control their blood sugar levels through diet and exercise alone.
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Individuals with type 2 diabetes who are at risk for cardiovascular events.
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SGLT-2 inhibitors are a class of medications used to treat type 2 diabetes by helping the kidneys remove glucose from the bloodstream through urine.
Healthcare providers prescribing or administering SGLT-2 inhibitors are required to file the medication's adverse event report.
To fill out the SGLT-2 inhibitors adverse event report, healthcare providers need to provide information on the patient, the adverse event, and the medication details.
The purpose of filing SGLT-2 inhibitors adverse event reports is to monitor the safety and efficacy of these medications and identify any potential risks.
Information such as patient demographics, adverse event description, medication details, and any other relevant information must be reported on the SGLT-2 inhibitors adverse event report.
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