Get the free QELBREE (viloxazine extended-release capsules), for oral use
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STEP THERAPY FORM Qelbree RxSelect Unless otherwise indicated below, authorization quantities are limited to the manufacturer recommended dosageComplete online at www.selecthealth.org/pa or fax back
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How to fill out qelbree viloxazine extended-release capsules
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01
Start by reading the medication guide provided with qelbree viloxazine extended-release capsules.
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Take qelbree viloxazine extended-release capsules exactly as prescribed by your doctor.
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Swallow the capsules whole with water. Do not crush, chew, or break the capsules.
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Take qelbree viloxazine extended-release capsules with or without food, but try to take it at the same time each day.
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If you miss a dose, take it as soon as you remember. If it is close to your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
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Do not stop taking qelbree viloxazine extended-release capsules without consulting your doctor.
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Store qelbree viloxazine extended-release capsules in a cool, dry place away from direct sunlight.
Who needs qelbree viloxazine extended-release capsules?
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Qelbree viloxazine extended-release capsules are typically prescribed to individuals with attention-deficit/hyperactivity disorder (ADHD). It is specifically indicated for the treatment of ADHD in pediatric patients aged 6 to 17 years.
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It should be used as part of a comprehensive treatment plan that includes psychological, educational, and social measures.
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What is qelbree viloxazine extended-release capsules?
Qelbree (viloxazine hydrochloride) is a prescription medication in the form of extended-release capsules used to treat attention-deficit/hyperactivity disorder (ADHD) in pediatric patients and adults.
Who is required to file qelbree viloxazine extended-release capsules?
Healthcare providers who prescribe Qelbree to patients, as well as licensed pharmacies that dispense the medication, are required to maintain proper documentation and filing related to its use.
How to fill out qelbree viloxazine extended-release capsules?
Filling out the prescription for Qelbree involves providing the patient's information, dosage, directions for use, and indicating the number of capsules to be dispensed, along with relevant provider details.
What is the purpose of qelbree viloxazine extended-release capsules?
The purpose of Qelbree is to manage symptoms of ADHD, helping to improve focus, attention, and impulse control in individuals diagnosed with the condition.
What information must be reported on qelbree viloxazine extended-release capsules?
The information reported should include patient details, prescriber information, dosage prescribed, usage instructions, and quantity dispensed, along with any adverse effects or outcomes if applicable.
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