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Blue Cross Blue Shield of Vermont and The Vermont Health Plan Prior Approval Form HARMONY (sofosbuvir/ledipasvir) tablets BCB SVT and THP Fax # (888) 255-1006 PLEASE COMPLETE THE FOLLOWING SECTIONS:
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How to fill out harvoni sofosbuvirledipasvir tablets
How to fill out Harvoni sofosbuvirledipasvir tablets:
01
Start by carefully reading the instructions provided with the medication. Ensure you have a clear understanding of the dosage, timing, and any specific instructions.
02
Wash your hands thoroughly before handling the tablets to maintain cleanliness and minimize the risk of contamination.
03
Take Harvoni tablets exactly as prescribed by your healthcare provider. Do not exceed the recommended dosage or alter the schedule without consulting a healthcare professional.
04
Harvoni tablets are generally taken once a day, with or without food. However, the specific dosing instructions may vary depending on your individual circumstances. It's important to follow the instructions provided by your doctor.
05
Swallow the tablet whole with water. Do not crush, break, or chew the tablets unless your doctor specifically advises you to do so.
06
If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
07
Store Harvoni tablets in a cool, dry place away from direct sunlight and moisture. Keep them out of reach of children and pets.
Who needs Harvoni sofosbuvirledipasvir tablets:
01
Harvoni is an antiviral medication used in the treatment of chronic hepatitis C infection in adults. It is specifically indicated for individuals with specific genotypes of the hepatitis C virus (HCV) and no or mild liver impairment.
02
People who have been diagnosed with chronic hepatitis C and meet the criteria for treatment may be prescribed Harvoni tablets by their healthcare provider.
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It's important to consult a healthcare professional to determine if Harvoni is suitable for your specific condition and to discuss the potential benefits and risks associated with its use.
Note: The information provided here is for general informational purposes only and should not be considered as medical advice. Always consult a healthcare professional for personalized guidance regarding your specific health condition and treatment options.
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What is harvoni sofosbuvirledipasvir tablets?
Harvoni is a combination medication containing sofosbuvir and ledipasvir used to treat chronic hepatitis C.
Who is required to file harvoni sofosbuvirledipasvir tablets?
Harvoni sofosbuvirledipasvir tablets are typically prescribed by healthcare providers and need to be filed by the patient or their caregiver.
How to fill out harvoni sofosbuvirledipasvir tablets?
Harvoni sofosbuvirledipasvir tablets should be taken orally as directed by a healthcare provider.
What is the purpose of harvoni sofosbuvirledipasvir tablets?
The purpose of harvoni sofosbuvirledipasvir tablets is to treat chronic hepatitis C infections.
What information must be reported on harvoni sofosbuvirledipasvir tablets?
The information that must be reported on harvoni sofosbuvirledipasvir tablets includes dosage, frequency of administration, and any side effects experienced.
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