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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST FORMEvrysdi Phone: 2159914300Fax back to: 8662403712Health Partners Plans manages the pharmacy drug benefit for your patient. Certain requests for
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01
Consult with your healthcare provider to discuss the benefits and risks of taking Evrysdi.
02
Read the medication guide provided by your pharmacist before starting Evrysdi.
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Take Evrysdi exactly as prescribed by your healthcare provider.
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Keep track of any side effects and report them to your healthcare provider.
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Follow up with your healthcare provider regularly to monitor your progress and adjust treatment if needed.

Who needs learn about evrysdi for?

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Individuals diagnosed with spinal muscular atrophy (SMA) may need to learn about Evrysdi for treatment.
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Patients who have been prescribed Evrysdi by their healthcare provider should also learn about how to take the medication properly.
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Learning about Evrysdi is important for understanding how the medication works and its potential benefits for individuals with Spinal Muscular Atrophy.
Healthcare professionals, caregivers, and individuals with Spinal Muscular Atrophy may be required to learn about Evrysdi.
You can fill out information about Evrysdi by talking to your healthcare provider, reading educational materials, or attending informational sessions.
The purpose of learning about Evrysdi is to educate individuals about the medication's benefits, risks, and proper usage.
Information on Evrysdi may include dosing instructions, potential side effects, and monitoring requirements.
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