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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST SelfInjected Phone: 2159914300Fax back to: 8662403712Health Partners Plans manages the pharmacy drug benefit for your patient. Certain requests for
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How to fill out epinephrine - self-injected

How to fill out epinephrine - self-injected
01
Remove the epinephrine auto-injector from its case.
02
Hold the auto-injector in your dominant hand with your thumb and fingers forming a tight grip around the midsection.
03
Remove the safety cap from the top of the auto-injector by pulling it straight off.
04
Hold the auto-injector in a fist-like grip and firmly press the needle end against the outer thigh.
05
As soon as the needle penetrates the skin, hold the auto-injector in place for several seconds.
06
After 5 to 10 seconds, remove the auto-injector from the thigh.
07
Massage the injection site for about 10 seconds.
08
Seek immediate medical attention even after using the epinephrine auto-injector.
Who needs epinephrine - self-injected?
01
People who have been diagnosed with severe allergies or anaphylaxis.
02
Individuals who have a known history of severe allergic reactions to certain foods, medications, insect stings, or other allergens.
03
Those who have had previous episodes of anaphylaxis or experienced a severe reaction to an allergen.
04
People who have been prescribed epinephrine by their healthcare provider.
05
Individuals who frequently engage in activities or environments where exposure to potential allergens is high.
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What is epinephrine - self-injected?
Epinephrine - self-injected refers to a device, typically an auto-injector, that delivers a dose of epinephrine (adrenaline) to the body for the rapid treatment of severe allergic reactions (anaphylaxis).
Who is required to file epinephrine - self-injected?
Individuals at risk of severe allergic reactions, such as those with known allergies to foods, insect stings, or medications, are required to have access to and may need to file for an epinephrine auto-injector.
How to fill out epinephrine - self-injected?
To fill out an epinephrine self-injected prescription, a licensed healthcare provider typically provides a prescription that includes patient identification, dosage instructions, and any specific medical conditions that warrant its use.
What is the purpose of epinephrine - self-injected?
The purpose of epinephrine - self-injected is to quickly reverse the symptoms of anaphylaxis, such as difficulty breathing, swelling, and low blood pressure, allowing the individual to stabilize until emergency medical help arrives.
What information must be reported on epinephrine - self-injected?
The information that must be reported includes the patient's name, date of birth, medical diagnosis indicating the need for epinephrine, prescription details (dosage and frequency), and emergency contact information.
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