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PRESCRIPTION AND SERVICE REQUEST FORM (PSF) FOR USED (RISPERIDONE) EXTENDEDRELEASE INJECTABLE SUSPENSIONTeva Shared Solutions can help you plan for starting and staying on USED. We can help your caregiver

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How to fill out teva shared solutions patient

01

Step 1: Visit the Teva Shared Solutions website

02

Step 2: Click on the 'Patient' tab

03

Step 3: Select the 'Fill out Patient Form' option

04

Step 4: Provide your personal information such as name, address, and contact details

05

Step 5: Complete the medical history section accurately

06

Step 6: Provide information about your healthcare provider and medication

07

Step 7: Review the filled-out form for any errors or missing information

08

Step 8: Submit the form online or print it out and send it via mail

Who needs teva shared solutions patient?

01

Patients who are prescribed medication from Teva Pharmaceuticals

02

Patients who require assistance with the cost of their medication

03

Patients who need access to additional support services related to their treatment

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What is teva shared solutions patient?

Teva Shared Solutions is a support program designed to assist patients who are prescribed Teva's specialty medications. It provides resources, education, and support services to help patients manage their treatment.

Who is required to file teva shared solutions patient?

Patients who are prescribed Teva specialty medications are required to file with Teva Shared Solutions to access support services and resources.

How to fill out teva shared solutions patient?

To fill out the Teva Shared Solutions patient form, patients need to provide personal information, medication details, insurance information, and consent for the program to access necessary information. Specific instructions are usually provided on the form itself.

What is the purpose of teva shared solutions patient?

The purpose of Teva Shared Solutions is to provide comprehensive support to patients using Teva medications, including financial assistance, insurance verification, treatment education, and adherence support.

What information must be reported on teva shared solutions patient?

Patients must report personal identification information, prescription details, insurance coverage, and any required medical history or authorization for Teva to process their application and provide support.

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