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DuPont BYWAY ENROLLMENT FORMModeratetoSevere Eosinophilic or OCS dependent Asthma SUBMIT COMPLETED PAGES 1 & 2Call 18443874936 MF, 8am9pm ETF ax: 18443879370 (or) Document Drop: www.patientsupportnow.org

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How to fill out moderate-to-severe eosinophilic or ocs-dependent

01

Consult with a healthcare provider to determine if you have moderate-to-severe eosinophilic or ocs-dependent asthma.

02

Follow the treatment plan prescribed by your healthcare provider, which may include medication and lifestyle changes.

03

Regularly monitor your symptoms and report any changes to your healthcare provider.

04

Attend all follow-up appointments to track progress and make any necessary adjustments to your treatment plan.

Who needs moderate-to-severe eosinophilic or ocs-dependent?

01

Individuals who have been diagnosed with moderate-to-severe eosinophilic asthma or ocs-dependent asthma.

02

People who have symptoms that are not well controlled with standard asthma medications.

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What is moderate-to-severe eosinophilic or ocs-dependent?

Moderate-to-severe eosinophilic or ocs-dependent refers to a condition where a patient experiences elevated levels of eosinophils in the blood or is dependent on oral corticosteroids.

Who is required to file moderate-to-severe eosinophilic or ocs-dependent?

Patients diagnosed with moderate-to-severe eosinophilic or ocs-dependent are required to file the necessary documentation.

How to fill out moderate-to-severe eosinophilic or ocs-dependent?

Patients can fill out the moderate-to-severe eosinophilic or ocs-dependent forms provided by their healthcare provider with accurate information about their condition.

What is the purpose of moderate-to-severe eosinophilic or ocs-dependent?

The purpose of moderate-to-severe eosinophilic or ocs-dependent reporting is to track and monitor patients with these conditions for proper treatment and management.

What information must be reported on moderate-to-severe eosinophilic or ocs-dependent?

Information such as the patient's medical history, current symptoms, medication usage, and test results related to eosinophil levels should be reported.

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