Austedo Enrollment Form

Starting Patients AUSTEDO® (deutetrabenazine) tablets

Austedo Enrollment Form. Available strengths of austedo (6 mg, 9 mg, 12 mg) austedo is available in three. 6 mg, 9 mg, and 12 mg (3) contraindications • suicidal, or.

Starting Patients AUSTEDO® (deutetrabenazine) tablets
Starting Patients AUSTEDO® (deutetrabenazine) tablets

Web titrate at weekly intervals by 6 mg per day based on reduction of chorea or tardive dyskinesia, and tolerability, up to a maximum recommended daily dosage of 48 mg (24. Austedo comes as a tablet that you swallow. Ad learn about dosing & titration. Enroll today for pharmacists important safety information austedo xr and austedo can cause. Web two ways to get started with shared solutions enroll your patient: Web patient enrollment patient information (please complete the following information) patient name (first, mi, last):address:patient phone. See full prescribing information & boxed warning. Available at both specialty and retail pharmacies. _____ my signature below authorizes value. _____ my signature below authorizes restore rx pharmacy staff.

Male female (please complete the following. _____ my signature below authorizes restore rx pharmacy staff. Web by signing this form and u zing our services, you are authorizing it’s employees to serve as your prior authorization agent when dealing with medical and prescription insurance. Web rate the pronunciation difficulty of austedo. 6 mg, 12 mg, and 24 mg (3) tablets: By checking this box, i am enrolling in the teva. Available at both specialty and retail pharmacies. Male female (please complete the following. See important safety info and medication guide. Get prescribing info, side effects info, medication guide, and more. 6 mg, 9 mg, and 12 mg (3) contraindications • suicidal, or.