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OBESITY TREATMENT AGENTS PRIOR AUTHORIZATION FORM (form effective 1/9/2023)Fax to Perform Rx at 18889815202, or to speak to a representative call 18666102774. SMPR IOR AUTHORIZATION REQUEST INFORMATION

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How to fill out obesity treatment agents prior

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Consult with a healthcare professional to determine if obesity treatment agents are necessary.

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Who needs obesity treatment agents prior?

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Individuals who are classified as obese according to their body mass index (BMI) and are recommended by a healthcare provider to use obesity treatment agents prior to starting treatment.

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What is obesity treatment agents prior?

As part of the FDA regulations, obesity treatment agents prior are medications or treatments used for managing obesity.

Who is required to file obesity treatment agents prior?

Healthcare providers or facilities that offer obesity treatment agents are required to file prior authorization.

How to fill out obesity treatment agents prior?

To fill out the form, healthcare providers need to provide information about the patient, the prescribed treatment, and the medical necessity for using obesity treatment agents.

What is the purpose of obesity treatment agents prior?

The purpose of prior authorization for obesity treatment agents is to ensure that these medications are being used appropriately and are medically necessary.

What information must be reported on obesity treatment agents prior?

Information such as patient demographics, medical history, prescribed treatment, and supporting documentation from the healthcare provider must be reported on the form.

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