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Prescriber Criteria Form MediGold Osphena 2021 PA Fax 2579A v1 010121.docx Osphena (ospemifene) Coverage Determination This fax machine is located in a secure location as required by HIPAA regulations.

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How to fill out osphena ospemifene and not

01

To fill out Osphena (ospemifene), follow these steps:

02

Read the medication guide provided by your pharmacist before you start using Osphena.

03

Take one tablet of Osphena by mouth once daily, with or without food.

04

Swallow the tablet whole with a full glass of water.

05

It is recommended to take Osphena at the same time each day.

06

If you have any questions or concerns about taking Osphena, consult your healthcare provider.

Who needs osphena ospemifene and not?

01

Osphena (ospemifene) is used to treat moderate to severe painful intercourse due to vaginal changes that occur with menopause.

02

It is typically prescribed for postmenopausal women who experience pain during sexual activity.

03

Osphena should not be used by women who have not yet entered menopause or by women who have certain medical conditions such as undiagnosed abnormal uterine bleeding, history of certain types of cancer, or liver problems.

04

It is important to consult with a healthcare provider to determine if Osphena is appropriate for you and to discuss any potential risks or side effects.

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What is osphena ospemifene and not?

Osphena (ospemifene) is a medication used to treat vaginal dryness due to menopause. It is not a hormone therapy or estrogen but a selective estrogen receptor modulator (SERM).

Who is required to file osphena ospemifene and not?

Patients experiencing moderate to severe dyspareunia (pain during intercourse) related to menopause may require osphena, whereas individuals not experiencing these symptoms do not need to file for it.

How to fill out osphena ospemifene and not?

Osphena (ospemifene) is taken orally, typically one time per day with food. It is important to follow the prescribed dosage and consult a healthcare professional for guidance.

What is the purpose of osphena ospemifene and not?

The purpose of osphena (ospemifene) is to relieve the symptoms of vaginal dryness, including discomfort during intercourse, in postmenopausal women. It is not intended for use in premenopausal women or for contraceptive purposes.

What information must be reported on osphena ospemifene and not?

Healthcare providers must report patient responses to treatment, any side effects, and overall efficacy. This does not include unrelated health conditions of patients not prescribed the medication.

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