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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST Formic Antibiotics Phone: 2159914300Fax back to: 8662403712Health Partners Plans manages the pharmacy drug benefit for your patient. Certain requests
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How to fill out otic - antibiotics
01
Wash your hands thoroughly before starting.
02
Check the expiration date of the otic-antibiotics to ensure they are not expired.
03
Read the instructions provided with the otic-antibiotics.
04
Gently clean the affected ear with a clean cotton ball or tissue.
05
Prepare the otic-antibiotic solution as instructed.
06
Tilt your head to the side with the affected ear facing up.
07
Using a dropper, carefully instill the prescribed number of drops into the ear.
08
Keep your head tilted for a few minutes to allow the medication to reach deep into the ear.
09
Wipe off any excess solution that may have dripped onto the outer ear with a tissue.
10
Avoid touching the dropper tip to prevent contamination.
11
Continue using the otic-antibiotics for the prescribed duration, even if the symptoms improve.
Who needs otic - antibiotics?
01
Individuals with ear infections caused by bacteria.
02
People who have been diagnosed with otitis externa or otitis media.
03
Those experiencing symptoms such as ear pain, itching, discharge, or hearing problems.
04
People who have undergone ear surgery or have tubes in their ears.
05
Individuals with a history of recurrent ear infections.
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What is otic - antibiotics?
Otic antibiotics are medications specifically formulated to treat bacterial infections in the ear. They are typically delivered directly into the ear canal.
Who is required to file otic - antibiotics?
Healthcare providers, particularly those prescribing or dispensing otic antibiotics, are required to file necessary documentation regarding their use.
How to fill out otic - antibiotics?
To fill out otic antibiotics, follow the instructions for prescription or packaging labeling, ensure correct dosage and administration details are included, and document patient information as required.
What is the purpose of otic - antibiotics?
The purpose of otic antibiotics is to eradicate bacterial infections in the ear, reducing inflammation and preventing further complications.
What information must be reported on otic - antibiotics?
Key information that must be reported includes the name of the medication, dosage instructions, expiration date, patient's name, and any possible side effects.
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