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  • Uptravi (selexipag) Prescription And Patient Enrollment Form

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UPTRAVI (selexipag) Prescription and Patient Enrollment Form FAX COVER SHEET Date: To: Fax number: 18662790669 From: Facility name: Facility contact: Completed UPTRAVI Prescription and Patient Enrollment.

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Your healthcare provider orders UPTRAVI ® from a specialty pharmacy. They will also determine if you need additional support services from a nurse to get started. Before your prescription is filled, you'll get a call from a specialty pharmacy to discuss coverage and shipping information.

UPTRAVI is used for the long-term treatment of pulmonary arterial hypertension (PAH) in adults. It can be used on its own or with other medicines for PAH. PAH is high blood pressure in the blood vessels that carry blood from the heart to the lungs (the pulmonary arteries).

Generic Name: selexipag Selexipag is used to treat high blood pressure in the lungs (pulmonary arterial hypertension-PAH).

Selexipag is used in adults to treat pulmonary arterial hypertension (PAH, high blood pressure in the vessels that carry blood to the lungs) to slow down the worsening of symptoms and reduce the chance of being hospitalized for PAH.

You should not stop taking Uptravi without your doctor's advice. Stopping suddenly may make your condition worse. Store tablets at room temperature away from moisture and heat.

Uptravi (selexipag) and (macitentan) are used to treat pulmonary arterial hypertension (PAH, WHO Group I) to delay disease progression. Uptravi and belong to different drug classes. Uptravi is a prostacyclin receptor agonist and is an endothelin receptor antagonist.

Selexipag is used in adults to treat pulmonary arterial hypertension (PAH, high blood pressure in the vessels that carry blood to the lungs) to slow down the worsening of symptoms and reduce the chance of being hospitalized for PAH.

Taking it with food can help lower the risk of stomach-related side effects (e.g., nausea, vomiting, diarrhea). Swallow the tablets whole. Don't split, crush, or chew the tablets. Uptravi (selexipag) can lower your blood pressure.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232