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State of Oklahoma Stoneware Debris (Bedouin) Prior Authorization Remember Name:___ Date of Birth:___ Member ID#:___ Drug Information Physician billing (HOPES code:___) Start Date (or date of next
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Consult with a healthcare provider to receive a prescription for brentuximab vedotin sgn35 drug
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Prepare the medication according to the instructions on the packaging or as directed by the healthcare provider
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Brentuximab vedotin (SGN-35) is an antibody-drug conjugate used to treat certain types of cancer.
Healthcare professionals are required to administer and file brentuximab vedotin (SGN-35) drug.
Brentuximab vedotin (SGN-35) should be administered as prescribed by a healthcare professional.
The purpose of brentuximab vedotin (SGN-35) drug is to target and kill cancer cells in the body.
Information such as dosage, frequency of administration, and any adverse reactions must be reported when using brentuximab vedotin (SGN-35) drug.
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