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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST FORMAntivirals Herpes 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 antivirals - herpes

01

Step 1: Obtain antiviral medication prescribed by a healthcare professional.

02

Step 2: Read the label and instructions provided with the medication carefully.

03

Step 3: Wash your hands thoroughly before handling the medication.

04

Step 4: Take the prescribed dosage of the antiviral medication as instructed by your healthcare professional.

05

Step 5: It is usually recommended to take antivirals with food to minimize possible stomach upset.

06

Step 6: Continue taking the medication for the recommended duration, even if symptoms improve or disappear.

07

Step 7: Store the medication as per the instructions provided, away from heat and moisture.

08

Step 8: If you miss a dose, take it as soon as you remember. If it is close to the time for the next dose, skip the missed dose and continue with your regular dosing schedule.

09

Step 9: Inform your healthcare professional if you experience any side effects or have any concerns while taking antivirals.

Who needs antivirals - herpes?

01

Individuals diagnosed with herpes infections may need antiviral medication.

02

People who experience frequent outbreaks or severe symptoms may benefit from antivirals.

03

Pregnant women with herpes may require antiviral treatment to prevent transmission to their unborn child.

04

Those with compromised immune systems, such as HIV-positive individuals, may need antivirals for herpes management.

05

The decision to use antivirals for herpes treatment should be made in consultation with a healthcare professional.

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What is antivirals - herpes?

Antivirals for herpes are medications specifically designed to treat infections caused by the herpes simplex virus (HSV), which can lead to conditions like oral and genital herpes.

Who is required to file antivirals - herpes?

Healthcare providers and pharmacies involved in the prescribing or dispensing of antiviral medications for herpes are typically required to file relevant information.

How to fill out antivirals - herpes?

The process for filling out antivirals for herpes usually involves completing a prescription form that includes patient information, the specific antiviral medication prescribed, dosage instructions, and the prescriber's details.

What is the purpose of antivirals - herpes?

The purpose of antivirals for herpes is to reduce the severity and duration of herpes outbreaks, help manage symptoms, and prevent the spread of the virus.

What information must be reported on antivirals - herpes?

Information that must be reported typically includes patient identifiers, medication name, dosage, prescribing physician details, and administration dates.

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