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(Medical Policy II16) Commercial PreAuthorization (PA) Request Formulas refer to current prior authorization lists to verify if service requires prior authorization. Lists are located at https://www.bluecrossmn.com/providers/medicalpolicyandutilizationmanagement

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How to fill out all requests for botulinum

01

Consult a licensed healthcare provider to determine if botulinum is appropriate for your condition.

02

Obtain a prescription for botulinum from your healthcare provider.

03

Make an appointment with a trained professional who is qualified to administer injections of botulinum.

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Provide all necessary medical information, including any allergies or medications you are currently taking, to the professional before receiving the injection.

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Follow any post-injection guidelines provided by the professional to ensure proper healing and results.

Who needs all requests for botulinum?

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Individuals seeking treatment for conditions such as muscle spasms, excessive sweating, migraines, or cosmetic enhancements may need botulinum injections.

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