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Sublocade/Brixadi Pharmacy Prior Authorization Form C are Oregon O HP Members Last revise d: F ebruary 2024Sublocade and Brixadi do not require prior authorization authorization is still required

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How to fill out sublocade or brixadi prior

01

Consult with a qualified healthcare professional to determine if Sublocade or Brixadi is appropriate for your treatment plan.

02

Obtain a prescription for Sublocade or Brixadi from your healthcare provider.

03

Schedule an appointment for the initial injection of Sublocade or Brixadi at a certified medical facility.

04

Before the appointment, ensure that you have not used any opioids for a specified period as instructed by your doctor.

05

During the appointment, the healthcare provider will administer the injection of Sublocade or Brixadi according to the recommended dosage.

06

Follow up with your healthcare provider as directed for subsequent doses, typically every month for Sublocade.

Who needs sublocade or brixadi prior?

01

Individuals struggling with opioid use disorder.

02

Patients who have not found success with other forms of medication-assisted treatment.

03

Those who require long-acting formulation to help in reducing cravings and withdrawal symptoms.

04

Individuals looking for a treatment that minimizes the risk of misuse associated with traditional oral medications.

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