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Prescriber Criteria Form Marigold 2021 PA Fax 1473B V1 010121.docx (oral dosage forms only) Prior Authorization applies only to patients 65 years of age or older. Coverage Determination This fax machine
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Read the prescription carefully to determine the dosage form and strength required.
02
Gather the necessary supplies such as the medication, measuring device, and other tools.
03
Wash your hands thoroughly before handling the medication.
04
Use the measuring device provided or recommended by the pharmacist to accurately measure the correct dosage.
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Administer the medication as directed by the healthcare provider or pharmacist.
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Keep track of the dosage forms and strengths used to avoid any errors or confusion.

Who needs dosage forms and strengths?

01
Patients who require specific doses of medication as prescribed by their healthcare provider.
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Healthcare professionals who need to accurately measure and administer medication to patients.
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Pharmacists who need to dispense medications in the correct dosage forms and strengths.
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Dosage forms refer to the physical form in which a drug is produced and administered, such as tablets, capsules, or injections. Strengths refer to the amount of active ingredient present in a specific dosage form.
Manufacturers of pharmaceutical products are required to file dosage forms and strengths with regulatory authorities.
Dosage forms and strengths can be filled out by providing detailed information about the physical form of the drug and the amount of active ingredient present.
The purpose of dosage forms and strengths is to provide healthcare professionals and patients with information about how a drug is formulated and how much active ingredient it contains.
Information such as the type of dosage form, the strength of the active ingredient, and any additional ingredients must be reported on dosage forms and strengths.
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