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Biosimilar Prescription Fax to: 1.844.809.3492 Patient Information First NameLast NameDOB (dd/mmm/yyyy) Gender Female MalePhone NumberEmailAllergiesAddressCityProvince/TerritoryPostal CodeMedication
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How to fill out biosimilar prescription

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How to fill out biosimilar prescription

01
Verify the patient's diagnosis and ensure that a biosimilar is appropriate.
02
Obtain the necessary patient information, including insurance details.
03
Select the appropriate biosimilar from the available options.
04
Complete the prescription form, including the biosimilar name, dosage, and administration method.
05
Include any additional instructions for the pharmacist or patient.
06
Review the prescription for accuracy before submitting it.
07
Submit the prescription to a pharmacy that is familiar with handling biosimilars.

Who needs biosimilar prescription?

01
Patients with chronic conditions such as rheumatoid arthritis, cancer, or inflammatory bowel disease.
02
Individuals currently prescribed a reference biologic who are eligible for a switch to a biosimilar.
03
Patients seeking more affordable medication options.
04
Healthcare providers looking for effective treatment alternatives.
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A biosimilar prescription refers to a prescription for a biosimilar drug, which is a biologic medical product highly similar to an already approved reference biologic product. Biosimilars are designed to be similar in terms of safety, efficacy, and quality to the reference product.
Healthcare providers authorized to prescribe medications, such as doctors and nurse practitioners, are required to file biosimilar prescriptions when prescribing a biosimilar drug to a patient.
To fill out a biosimilar prescription, healthcare providers should include the patient's information, the name of the biosimilar drug, the dosage and form of the medication, the frequency of administration, and any specific instructions for use. It is crucial to ensure that the prescribed biosimilar is appropriate for the patient's condition.
The purpose of a biosimilar prescription is to provide patients with access to effective treatment options that mimic the therapeutic effects of original biologics while often being more affordable, thereby promoting competition in the market.
The biosimilar prescription must report the patient's details, prescribing physician's information, specific biosimilar medication being prescribed, dosage, route of administration, duration of therapy, and any relevant medical history or treatment rationale.
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