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Prior Authorization, Pharmacy and Health Case Management Information The purpose of this information sheet is to provide you with details on how The Greatest Life will be assessing and managing your claim
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How to fill out Sativex - Great-West life:

01
Start by gathering all the required information and documents. This may include your personal information, medical history, and any relevant prescriptions or documentation.
02
Carefully read and follow the instructions provided by Great-West Life. Make sure to understand the specific requirements for filling out the Sativex claim form.
03
Begin by entering your personal information, such as your full name, date of birth, address, and contact details.
04
Provide your policy or plan number, which can usually be found on your insurance card or policy documents.
05
Indicate the date of the claim or the date when Sativex was prescribed to you.
06
Provide detailed information about the healthcare professional who prescribed Sativex. This may include their name, address, and contact information.
07
Describe your medical condition and the reason why Sativex was prescribed to you. Include any relevant medical documentation or reports to support your claim.
08
Clearly state the dosage and frequency of Sativex prescribed by your healthcare professional.
09
If there are any additional medical expenses related to the use of Sativex, make sure to include them in the appropriate section of the claim form.
10
Double-check all the information you have entered to ensure accuracy. It is essential to provide correct and complete information to avoid any delays or complications.

Who needs Sativex - Great-West Life:

01
Sativex is a prescription medication primarily used to treat multiple sclerosis (MS)-related spasticity. It may be prescribed to individuals who are experiencing muscle stiffness, spasms, or other symptoms associated with MS.
02
People who have been diagnosed with MS and have spasticity as a symptom may benefit from Sativex. It is typically prescribed when other treatments have been ineffective or when the side effects of other medications are not well-tolerated.
03
Sativex may also be recommended for individuals with other medical conditions, such as cancer, who experience moderate to severe pain that is not adequately relieved by other methods. However, the use of Sativex for this purpose may vary depending on the healthcare provider and the specific insurance coverage.
04
It is important to consult with a healthcare professional to determine if Sativex is appropriate for your specific medical condition and to understand the potential risks and benefits associated with its use.
Note: The information provided above is for general guidance purposes only and should not replace professional medical advice. Always consult with a healthcare professional or refer to your insurance provider for specific instructions and guidance regarding the use of Sativex and the filling out of insurance claim forms.
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Sativex is a prescription mouth spray that contains a combination of THC and CBD. Great-West Life is an insurance company that may cover the cost of Sativex for certain medical conditions.
Patients who are prescribed Sativex and have coverage through Great-West Life are required to file claims for reimbursement.
To fill out Sativex claims with Great-West Life, patients must submit the necessary documentation, including prescription information and receipts, through the insurance provider's online portal or by mail.
The purpose of Sativex coverage through Great-West Life is to provide financial assistance to patients who require this medication for medical treatment.
Information that must be reported on Sativex claims with Great-West Life includes the patient's name, prescription details, medical diagnosis, and receipts for reimbursement purposes.
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