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Program Enrollment FormVELSIPITY (etrasimod)For assistance, call 18003503080, MF 8AM8PM EST VELSIPITY Complete the following sections, then read and sign the required authorization and prescription
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01
Obtain the prescription from your healthcare provider.
02
Review the medication information provided with the prescription.
03
Follow your healthcare provider's instructions on dosage and administration.
04
Fill the prescription at a licensed pharmacy.
05
Take VELSIPITY as directed, typically once daily.
06
Monitor for any side effects and report them to your healthcare provider.
07
Attend follow-up appointments to assess treatment efficacy.

Who needs US FDA Approves Pfizers VELSIPITY for Adults?

01
Adults diagnosed with the specific condition that VELSIPITY is indicated for, as determined by a healthcare provider.
02
Patients who have not responded adequately to other treatments.
03
Individuals looking for an alternative treatment option.
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The US FDA has approved Pfizer's VELSIPITY, a medication designed for adults to treat specific health conditions.
Healthcare providers who prescribe VELSIPITY and pharmaceutical companies that manufacture and distribute it are required to file information with the FDA.
Filling out forms related to VELSIPITY involves providing specific patient information, dosage details, and ensuring compliance with FDA regulations.
The purpose of approving VELSIPITY is to ensure that adults have access to effective treatment options for their medical conditions while ensuring safety and efficacy.
Information that must be reported includes clinical trial results, side effects, dosage guidelines, and patient demographics.
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