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PRIOR AUTHORIZATION FORM Oxlumo 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 oxlumo lumasiran - drug
01
To fill out the oxlumo lumasiran drug, follow these steps:
02
Start by reading the instructions and warnings provided with the medication.
03
Ensure that you have the necessary supplies, including the medication, a syringe, and any other equipment mentioned.
04
Wash your hands thoroughly with soap and water.
05
If required, mix the medication as per the instructions provided.
06
Draw the prescribed dosage of the medication into the syringe.
07
Choose an injection site, typically in the fatty tissue of the stomach or thigh.
08
Clean the injection site with an alcohol swab and let it dry.
09
Pinch the cleaned area and insert the needle quickly and at a slight angle.
10
Slowly inject the medication into the chosen site.
11
Remove the needle and dispose of it safely in a sharps container.
12
Apply gentle pressure with a clean cotton ball or tissue to the injection site.
13
Dispose of any unused medication as per the provided instructions.
14
Wash your hands again after handling the medication.
15
Keep track of your dosage schedule and follow up with your healthcare provider.
Who needs oxlumo lumasiran - drug?
01
Oxlumo lumasiran drug is prescribed for individuals who have primary hyperoxaluria type 1 (PH1).
02
PH1 is a rare genetic disorder that leads to the accumulation and excretion of oxalate in the urine.
03
This medication is specifically for the treatment of PH1 in adults and children as young as six months old.
04
It is important to consult with a healthcare professional to determine if oxlumo lumasiran is suitable for individual cases.
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What is oxlumo lumasiran - drug?
Oxlumo (lumasiran) is a drug used for the treatment of primary hyperoxaluria type 1 (PH1), a rare genetic disorder.
Who is required to file oxlumo lumasiran - drug?
Healthcare professionals or facilities administering the drug are required to file reports on oxlumo lumasiran.
How to fill out oxlumo lumasiran - drug?
The reporting process for oxlumo lumasiran involves documenting the patient information, dosage administered, and any adverse reactions.
What is the purpose of oxlumo lumasiran - drug?
The purpose of oxlumo lumasiran is to reduce the oxalate production in patients with PH1, ultimately preventing the formation of kidney stones and other related complications.
What information must be reported on oxlumo lumasiran - drug?
Information such as patient demographics, treatment regimen, any side effects or adverse events, and patient outcomes must be reported on oxlumo lumasiran - drug.
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