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TCAPSA (oral capsules) Prior Authorization Request Form Caterpillar Prescription Drug Benefit Phone: 8772287909 Fax: 8004247640 Instructions: Please fill out all applicable sections completely and

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How to fill out mycapssa oral capsules prior

01

Wash hands thoroughly before handling the capsules.

02

Open the bottle of mycapssa capsules.

03

Take out the prescribed number of capsules.

04

Place each capsule in your mouth, one at a time.

05

Swallow each capsule whole with a glass of water.

06

Ensure you follow the specific instructions provided by your healthcare provider.

Who needs mycapssa oral capsules prior?

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Individuals diagnosed with acromegaly may need mycapssa oral capsules prior to surgery.

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