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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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Aptensio XR - Optima is a medication used to treat Attention Deficit Hyperactivity Disorder (ADHD) in children and adults.
Patients or their caregivers are required to fill out and file Aptensio XR - Optima.
Aptensio XR - Optima can be filled out by following the instructions provided by the prescribing healthcare provider or pharmacist.
The purpose of Aptensio XR - Optima is to help manage the symptoms of ADHD and improve focus, attention, and impulse control.
Information such as dosage, frequency of administration, and any side effects experienced must be reported on Aptensio XR - Optima.
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