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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST FORMBronchodilators Beta Agonist Phone: 2159914300Fax back to: 8662403712Health Partners Plans manages the pharmacy drug benefit for your patient.

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How to fill out bronchodilators - beta agonist

01

Wash hands before handling the bronchodilator

02

Shake the bronchodilator inhaler before each use

03

Remove the cap from the inhaler and exhale fully

04

Hold the inhaler upright and place the mouthpiece in your mouth, forming a tight seal

05

Press down on the inhaler to release a puff of medication as you begin to inhale deeply

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Hold your breath for 10 seconds to allow the medication to reach the lungs

07

Exhale slowly and repeat if directed

Who needs bronchodilators - beta agonist?

01

Individuals with asthma

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Individuals with chronic obstructive pulmonary disease (COPD)

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Individuals with bronchitis

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Individuals with emphysema

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Individuals with exercise-induced bronchoconstriction

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What is bronchodilators - beta agonist?

Bronchodilators - beta agonist are medications that relax the muscles in the airways, making breathing easier for individuals with conditions such as asthma or chronic obstructive pulmonary disease (COPD).

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The purpose of bronchodilators - beta agonist is to help open up the airways and improve airflow to the lungs, making it easier to breathe.

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Information such as the name of the medication, dosage, frequency of use, side effects, and any other relevant details must be reported on bronchodilators - beta agonist forms.

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