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MRN: DOB:STANDARD Entyvio (vedolizumab) PLAN OF TREATMENT FOR GASTROENTEROLOGY Patient cannot receive Entyvio while receiving () or other TNF NOTE: Patient may be ineligible to receive vedolizumab
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How to fill out vedolizumab for form treatment

01
Follow the instructions provided by your healthcare provider for preparing and administering vedolizumab.
02
Make sure to thoroughly clean the injection site with an alcohol swab before administering the medication.
03
Allow the medication to come to room temperature before injecting to reduce discomfort.
04
Inject the medication subcutaneously as directed by your healthcare provider. Dispose of used needles properly.
05
Store vedolizumab in the refrigerator as directed by the manufacturer.

Who needs vedolizumab for form treatment?

01
Vedolizumab is typically used for individuals who have moderate to severe inflammatory bowel disease (such as Crohn's disease or ulcerative colitis) that has not responded well to other treatments.
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Vedolizumab is a medication used for the treatment of certain inflammatory bowel diseases, including ulcerative colitis and Crohn's disease. It works as a selective integrin inhibitor to reduce inflammation by blocking the migration of white blood cells into the gastrointestinal tissue.
Patients prescribed vedolizumab for treatment of inflammatory bowel diseases are required to file the necessary forms for treatment authorization, typically through their healthcare provider or a facility administering the medication.
To fill out the vedolizumab treatment form, you need to provide patient identification details, prescription information, medical history related to inflammatory bowel disease, and any relevant laboratory results or prior treatments.
The purpose of the vedolizumab treatment form is to document and authorize the use of vedolizumab for patients with inflammatory bowel diseases, ensuring that the treatment is appropriate and meets insurance or regulatory criteria.
The information that must be reported includes the patient's demographics, diagnosis, treatment history, dosage information, healthcare provider details, and any supporting medical documentation.
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