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PRIOR AUTHORIZATION FORM Braftovi Mektovi Commercial/Medicaid Unless otherwise indicated below, authorization quantities are limited to the manufacturer recommended dosageComplete online at www.selecthealth.org/pa

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How to fill out mektovi binimetinib tablets

01

Take Mehtovi Binimetinib tablets exactly as prescribed by your doctor.

02

Swallow the tablets whole with a glass of water. Do not crush, chew, or break the tablets.

03

You may take Mehtovi Binimetinib with or without food, as directed by your doctor.

04

Take Mehtovi Binimetinib at the same time each day to help you remember.

05

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

06

It is important to follow your doctor's instructions and complete the full course of treatment with Mehtovi Binimetinib, even if you start to feel better.

07

If you have any questions or concerns about how to take Mehtovi Binimetinib, consult your doctor or pharmacist.

Who needs mektovi binimetinib tablets?

01

Mektovi Binimetinib tablets are used to treat patients with advanced melanoma that has a specific genetic mutation called BRAF V600E or V600K.

02

It is prescribed for patients who are not suitable for surgery or radiation therapy, or whose cancer has spread to other parts of the body.

03

Your doctor will determine if Mektovi Binimetinib is appropriate for you based on your specific medical condition and the results of diagnostic tests.

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What is mektovi binimetinib tablets?

Mektovi (binimetinib) tablets are a prescription medication used to treat certain types of melanoma, specifically those that are caused by a mutation in the BRAF gene.

Who is required to file mektovi binimetinib tablets?

Healthcare providers are required to file for prescriptions of mektovi binimetinib tablets on behalf of their patients to ensure proper treatment and monitoring.

How to fill out mektovi binimetinib tablets?

To fill out a prescription for mektovi binimetinib tablets, a healthcare provider must complete a prescription form detailing the patient's information, the dosage, and the duration of treatment.

What is the purpose of mektovi binimetinib tablets?

The purpose of mektovi binimetinib tablets is to inhibit the growth of cancer cells in patients with BRAF mutation-positive melanoma, thereby improving patient outcomes.

What information must be reported on mektovi binimetinib tablets?

The prescription for mektovi binimetinib tablets must include the patient's name, date of birth, medical condition, dosage instructions, and prescribing physician's information.

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