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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST FORMPancreatic Enzymes 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 preferred pancreatic enzyme drugs

01
Check the prescription label to ensure you have the correct pancreatic enzyme drug.
02
Take the drug with a meal or snack.
03
Swallow the drug whole; do not crush, chew, or break the capsule.
04
If you have difficulty swallowing, you may sprinkle the contents of the capsule onto a small amount of soft food (like applesauce) and consume it immediately.
05
If you are using enteric-coated or delayed-release capsules, make sure to follow the instructions for those specifically.
06
If you are taking multiple doses in a day, space them evenly apart.
07
If you forget a dose, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed one and continue with your regular dosing schedule.
08
Store the medication in a cool and dry place, away from moisture and heat.
09
Keep the drug out of reach of children and pets.

Who needs preferred pancreatic enzyme drugs?

01
People who have been diagnosed with pancreatic insufficiency, such as those with cystic fibrosis or chronic pancreatitis, typically require pancreatic enzyme drugs.
02
These medications help individuals who have trouble digesting food properly due to a lack of pancreatic enzymes.
03
Patients who have undergone pancreatic surgery may also need to take these drugs to aid with digestion and nutrient absorption.
04
It is important to consult a healthcare professional for a proper diagnosis and to determine if pancreatic enzyme drugs are necessary.
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Preferred pancreatic enzyme drugs are medications that contain enzymes like lipase, amylase, and protease, which help break down fats, carbohydrates, and proteins in the digestive system of individuals with pancreatic insufficiency.
Healthcare providers or pharmacies involved in the prescribing or dispensing of preferred pancreatic enzyme drugs must file the necessary documentation for reimbursement and authorization.
To fill out preferred pancreatic enzyme drug prescriptions, ensure to provide the patient's detailed information, the specific drug dosage and frequency, as well as any relevant medical history that supports the need for the enzymes.
The purpose of preferred pancreatic enzyme drugs is to supplement the digestive enzymes that the pancreas is not secreting adequately, aiding in the proper digestion of food.
Information that must be reported includes the patient's name, dosage prescribed, frequency of administration, indication for use, and any allergies or contraindications.
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