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Prescriber Criteria Form
Aurelio 2023 PA Fax 3152A v1 010123.docx
Aurelio (pexidartinib)
Coverage Determination
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How to fill out turalio rems patient enrollment
How to fill out turalio rems patient enrollment
01
Obtain the Turalio REMS Patient Enrollment form from the healthcare provider or online portal.
02
Fill out the patient's personal information such as name, date of birth, address, and contact details.
03
Provide the medical history of the patient including any relevant diagnoses and current medications.
04
Complete the prescriber information section with the healthcare provider's details and signature.
05
Review the form for accuracy and completeness before submitting it for processing.
Who needs turalio rems patient enrollment?
01
Patients who have been prescribed Turalio medication and are required to enroll in the Risk Evaluation and Mitigation Strategy (REMS) program.
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What is turalio rems patient enrollment?
Turalio REMS patient enrollment is the process of registering patients who are prescribed Turalio, a medication used to treat a specific type of tumor, in a Risk Evaluation and Mitigation Strategy (REMS) program.
Who is required to file turalio rems patient enrollment?
Healthcare providers are required to file Turalio REMS patient enrollment for each patient they prescribe Turalio to.
How to fill out turalio rems patient enrollment?
Healthcare providers can fill out Turalio REMS patient enrollment by following the instructions provided in the enrollment form and submitting the required information online or by mail.
What is the purpose of turalio rems patient enrollment?
The purpose of Turalio REMS patient enrollment is to monitor and track patients prescribed Turalio to ensure safe use of the medication and minimize potential risks.
What information must be reported on turalio rems patient enrollment?
The information reported on Turalio REMS patient enrollment includes patient demographics, medical history, concomitant medications, and prescriber information.
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