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OPTIMA HEALTH PLAN PHARMACY PRIOR AUTHORIZATION/STEPPED REQUEST* Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other information
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How to fill out drug name requested pick

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To fill out the drug name requested pick, follow these steps:

01
Start by locating the "Drug Name" field on the form or web page. This is typically found in the section where you are asked to provide information about the medication.
02
Once you have located the "Drug Name" field, enter the name of the specific medication that you are requesting. Make sure to spell the name correctly and include any necessary details such as the dosage strength or formulation (if applicable).
03
Double-check the accuracy of the drug name you have entered to ensure that there are no typing errors or misspellings. Accuracy in filling out this field is crucial to avoid any confusion or delays in processing your request.

Now, let's address who needs the drug name requested pick:

01
Patients: Patients who require a specific medication prescribed by their healthcare provider need to provide the drug name when filling out a drug name requested pick. This is an essential step in ensuring that the correct medication is dispensed or provided to the patient.
02
Healthcare Providers: Doctors, nurses, or pharmacists who are completing the drug name requested pick on behalf of a patient also need to accurately enter the drug name. This helps prevent any misunderstandings and ensures that the correct medication is obtained for the patient.
03
Pharmacies or Healthcare Facilities: For pharmacies or healthcare facilities responsible for dispensing medications, the drug name requested pick is crucial for accurately fulfilling prescription orders. Having the correct drug name helps minimize errors and ensures that patients receive the intended medication.
In conclusion, filling out the drug name requested pick involves entering the specific medication name accurately. This step is essential for both patients and healthcare providers, as it ensures the proper dispensing and administration of medications.
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Drug name requested pick refers to the specific name of the medication that is being requested or picked up.
The individual or entity responsible for picking up or requesting the medication is required to file the drug name requested pick.
To fill out the drug name requested pick, you need to provide the specific name of the medication being requested or picked up.
The purpose of drug name requested pick is to accurately identify the medication being requested or picked up.
The drug name, dosage, and quantity of the medication must be reported on the drug name requested pick form.
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