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Member Name:DOB:PA Number:PrEP HIV Prior Authorization Request CVS Earmark administers the prescription benefit plan for the patient identified. These patients benefit plan requires prior authorization
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How to fill out pep hiv and prep

01
Ensure you have the correct form for either PEP HIV or PrEP.
02
Fill in all personal information accurately including name, contact information, and date of birth.
03
Provide details on recent exposure or risk factors that may necessitate the use of PEP HIV.
04
Indicate any allergies or medical conditions that may affect the use of PEP HIV or PrEP.
05
Consult with a healthcare provider for guidance and assistance if needed.

Who needs pep hiv and prep?

01
PEP HIV is recommended for individuals who have been recently exposed to HIV through unprotected sex, needle sharing, or occupational exposure.
02
PrEP is recommended for individuals who are at high risk of contracting HIV through sexual transmission or injection drug use.
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PEP (Post-Exposure Prophylaxis) is a treatment to prevent HIV infection after potential exposure. PrEP (Pre-Exposure Prophylaxis) is a preventive medication for individuals at high risk of HIV to reduce their chances of getting infected.
Individuals at high risk of HIV exposure may need to consider PrEP, while health professionals should document PEP usage after exposure incidents.
Filling out PEP or PrEP information usually involves medical documentation when prescribed or administered; patients should provide their medical history and potential exposure details.
The purpose of PEP is to prevent HIV infection after a potential exposure, while PrEP is to reduce the risk of getting HIV before potential exposure.
Information that must be reported includes patient demographics, exposure details, treatment administered, and follow-up results.
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