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US Family Health Plan Prior Authorization Request Form for abiraterone acetate () 250 mg To be completed and signed by the prescriber. To be used only for prescriptions which are to be filled through
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How to fill out abiraterone acetate 250mg prior

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Take abiraterone acetate 250mg tablets with or without food.
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Swallow the tablet whole with water, do not crush, chew, or break it.
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Who needs abiraterone acetate 250mg prior?

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Abiraterone acetate 250mg prior is typically prescribed for patients with metastatic castration-resistant prostate cancer who have already received chemotherapy.
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It may also be prescribed for patients with metastatic castration-sensitive prostate cancer who are not able to have surgery or other types of treatment.
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Abiraterone acetate 250mg prior is a medication used in the treatment of prostate cancer.
Healthcare providers or pharmacies are required to file abiraterone acetate 250mg prior.
Abiraterone acetate 250mg prior can be filled out by providing patient information, prescribing physician details, and relevant medical history.
The purpose of abiraterone acetate 250mg prior is to ensure safe and appropriate use of the medication.
Information such as patient name, date of birth, diagnosis, prescribing physician, dosage, and duration of treatment must be reported on abiraterone acetate 250mg prior.
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