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Clinical Policy: Glecaprevir/Pibrentasvir (Mavyret) Reference Number: HIM.PA.SP36 Effective Date: 08.01.17 Last Review Date: 12.23 Line of Business: HIM*Revision LogSee Important Reminder at the end
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How to fill out glecaprevir-pibrentasvir for 8 or

01
Read the medication guide provided by your pharmacist before starting glecaprevir-pibrentasvir treatment.
02
Take glecaprevir-pibrentasvir exactly as prescribed by your doctor.
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Swallow the tablets whole with water, do not crush or chew them.
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You can take glecaprevir-pibrentasvir with or without food.
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If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take your next dose at the regular time.
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Do not stop taking glecaprevir-pibrentasvir without consulting your doctor, even if you start to feel better.

Who needs glecaprevir-pibrentasvir for 8 or?

01
Patients diagnosed with chronic hepatitis C virus infection may need glecaprevir-pibrentasvir for 8 or.
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Glecaprevir-pibrentasvir is an antiviral medication used to treat chronic hepatitis C virus (HCV) infection in adults.
Patients prescribed glecaprevir-pibrentasvir for the treatment of hepatitis C are required to file, typically through their healthcare providers.
To fill out the glecaprevir-pibrentasvir form, patients should follow the instructions provided by their healthcare provider and include necessary personal and medical information.
The purpose of glecaprevir-pibrentasvir is to cure chronic hepatitis C virus infection and achieve sustained virologic response.
Information that must be reported includes the patient's medical history, current medications, and any previous treatments for hepatitis C.
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