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This form is intended for patients enrolling in the inLighten Patient Support program for ARIKAYCE, a medication for treating Mycobacterium avium complex (MAC) lung disease. It gathers essential patient
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How to fill out arikayce enrollment form

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How to fill out arikayce prescription and inlighten

01
Obtain a prescription from your healthcare provider.
02
Verify the dosage and frequency as prescribed by your doctor.
03
Collect all necessary supplies: Arikayce ampules, nebulizer, and any additional equipment.
04
Wash your hands thoroughly before handling any medication.
05
Connect the nebulizer to a power source and prepare it according to the manufacturer's instructions.
06
Open the Arikayce ampule by twisting off the top.
07
Pour the contents of the ampule into the nebulizer's medication cup.
08
Ensure that all parts of the nebulizer are securely connected.
09
Place the mouthpiece in your mouth or wear the mask correctly.
10
Turn on the nebulizer and breathe in the mist until the medication is fully used.
11
Clean the nebulizer components according to the instructions after each use.

Who needs arikayce prescription and inlighten?

01
Individuals diagnosed with specific types of lung infections such as non-tuberculous mycobacterial (NTM) infections.
02
Patients with a history of chronic lung diseases who have not responded to other treatments.
03
Those who are aged 18 years and older, under the care of a physician, and have received a thorough evaluation for the condition being treated.
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Arikayce is a prescription medication used to treat pulmonary infections caused by non-tuberculous mycobacteria (NTM), particularly in patients with cystic fibrosis. Inlighten is a program designed to assist healthcare providers in managing and prescribing Arikayce effectively.
Healthcare providers who prescribe Arikayce must file the prescription. They are also encouraged to participate in the Inlighten program to stay informed and compliant with best practices for patient care.
To fill out the Arikayce prescription, practitioners must provide patient information, specify the dosage and duration of therapy, and include any relevant medical history. For Inlighten, providers may need to complete additional documentation as required by the program.
The purpose of the Arikayce prescription is to provide patients with an effective treatment for NTM pulmonary infections, while Inlighten aims to support healthcare providers with resources, training, and patient management tools.
Information that must be reported includes patient demographics, diagnosis, prescribed dosage, treatment duration, any previous treatments, and any adverse effects experienced during the therapy. For Inlighten, additional program-specific compliance data may be required.
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