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Prescriber Criteria Form Caliban 2024 PA Fax 809A v1 010124.docx Firmly, Salazar (Caliban), Caliban Coverage Determination This fax machine is located in a secure location as required by HIPAA regulations. Complete/review
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01
To fill out icatibant lanadelumab for hae, follow these steps:
02
Prepare the medication by removing it from the refrigerator and allowing it to reach room temperature.
03
Wash your hands thoroughly and ensure a clean work surface.
04
Check the medication for any signs of damage or expiry. Do not use if the packaging is torn or if the medication has expired.
05
Remove the protective cap from the syringe and attach the needle provided.
06
Choose an injection site (usually the abdomen) and clean it with an alcohol swab.
07
Pinch the skin and insert the needle at a 90-degree angle, as instructed by your healthcare provider.
08
Slowly push the plunger all the way down to inject the medication.
09
Once the injection is complete, gently remove the needle and dispose of it in a sharps container.
10
Apply pressure to the injection site for a few seconds using a clean cotton ball or gauze pad.
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Dispose of all used materials safely and wash your hands again.
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Keep track of the date and time of the injection for future reference.
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Please note that this is a general guide and it's important to consult the prescribing healthcare provider for specific instructions on how to fill out icatibant lanadelumab for hae.

Who needs icatibant lanadelumab for hae?

01
Icatibant lanadelumab is specifically intended for individuals with hereditary angioedema (HAE). They may need this medication to manage and treat acute attacks of HAE.
02
HAE is a rare genetic condition characterized by recurrent episodes of swelling in various body parts, including the hands, feet, face, and airways. It can be life-threatening if not properly managed.
03
Only individuals diagnosed with HAE and under the guidance of a healthcare professional should use icatibant lanadelumab. The decision to use this medication should be made in consultation with a healthcare provider who has experience in the management of HAE.
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Icatibant lanadelumab is a medication used for the treatment of hereditary angioedema (HAE).
Healthcare professionals are typically required to prescribe and administer icatibant lanadelumab for patients with HAE.
Icatibant lanadelumab is usually administered by injection under the skin. It is important to follow the instructions provided by healthcare professionals.
The purpose of icatibant lanadelumab is to prevent and treat acute attacks of swelling in patients with HAE.
Information such as patient demographics, dosage administered, date of administration, and any adverse reactions must be reported when using icatibant lanadelumab for HAE.
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