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UTAH MEDICAID PHARMACY PRIOR AUTHORIZATION REQUEST FORMWakefulness Promoting Agents
Nu vigil (armodafinil), Pro vigil (modafinil), Suns (solriamfetol), Wait (pitolisant)
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How to fill out wakefulness promoting agents
How to fill out wakefulness promoting agents
01
Consult with a healthcare provider to determine if wakefulness promoting agents are the right option for you.
02
Follow the prescribed dosage instructions provided by your healthcare provider.
03
Take the medication at the recommended time of day to achieve the desired wakefulness effects.
04
Monitor any side effects and report them to your healthcare provider.
Who needs wakefulness promoting agents?
01
Individuals suffering from excessive sleepiness or fatigue due to conditions such as narcolepsy, shift work sleep disorder, or sleep apnea.
02
People with conditions that affect their ability to stay awake and alert during the day.
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What is wakefulness promoting agents?
Wakefulness promoting agents are substances that are used to enhance alertness and reduce excessive sleepiness. They are often prescribed for conditions such as narcolepsy, sleep apnea, or shift work sleep disorder.
Who is required to file wakefulness promoting agents?
Healthcare providers and institutions that prescribe or distribute wakefulness promoting agents are typically required to file necessary documentation with regulatory bodies.
How to fill out wakefulness promoting agents?
To fill out forms for wakefulness promoting agents, providers must include patient information, diagnosis, prescribed agent, dosage, and duration of treatment along with any other required details as stipulated by regulatory guidelines.
What is the purpose of wakefulness promoting agents?
The purpose of wakefulness promoting agents is to assist individuals in maintaining wakefulness and alertness, thereby improving their quality of life and ability to perform daily tasks effectively.
What information must be reported on wakefulness promoting agents?
Information that must be reported includes the name of the agent, dosage, frequency of administration, patient identification details, prescribing physician information, and specific medical conditions being treated.
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