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PRIOR AUTHORIZATION FORM NonPreferred LongActing Opioids Medicaid Unless otherwise indicated below, authorization quantities are limited to the manufacturer recommended dosageComplete online at www.selecthealth.org/pa
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01
To fill out non-preferred long-acting opioids, follow these steps:
02
Obtain the prescription from the healthcare provider.
03
Take the prescription to a pharmacy that carries non-preferred long-acting opioids.
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Provide the pharmacist with your prescription and any applicable insurance information.
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Wait for the pharmacist to fill the prescription, and ask if any additional instructions are necessary.
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Pay for the medication and follow any storage or dosage instructions provided by the pharmacist.
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Take the non-preferred long-acting opioids as directed by your healthcare provider.
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If you experience any side effects or have concerns, contact your healthcare provider immediately.
Who needs non-preferred long-acting opioids?
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Non-preferred long-acting opioids may be needed by individuals who require long-term pain management, particularly if other pain relief options have been ineffective or insufficient.
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These opioids are typically prescribed to patients with chronic pain conditions such as cancer-related pain, severe arthritis, or neuropathy.
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The decision to use non-preferred long-acting opioids is made by a healthcare provider, taking into consideration the individual's medical history, pain severity, and potential risks and benefits.
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What is non-preferred long-acting opioids?
Non-preferred long-acting opioids are opioid medications that are not the first choice for treatment due to factors such as cost, availability, or clinical guidelines.
Who is required to file non-preferred long-acting opioids?
Healthcare providers, particularly those prescribing these medications, may be required to file information related to non-preferred long-acting opioids.
How to fill out non-preferred long-acting opioids?
To fill out a prescription for non-preferred long-acting opioids, the prescribing physician must follow specific guidelines, including providing complete patient information and justifying the need for a non-preferred medication.
What is the purpose of non-preferred long-acting opioids?
The purpose of non-preferred long-acting opioids is to manage chronic pain in patients who do not respond well to preferred alternatives or when those alternatives are contraindicated.
What information must be reported on non-preferred long-acting opioids?
Information that must be reported includes patient identification, dosage, prescribing physician details, and a rationale for the use of a non-preferred medication.
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