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  • Veltassa Starter Rx Form

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HOW TO COMPLETE THE STARTER Rx FORM Completing and faxing back a signed Starter Rx form connects your patients to a range of personalized services to meet their needs. Incomplete information may result.

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Veltassa (patiromer) is a liquid medication used to treat high potassium levels in adults. It's only available as a brand-name medication, which can be expensive. Veltassa (patiromer) shouldn't be used to treat life-threatening, high potassium levels because it works slowly.

Veltassa (patiromer) is a liquid medication used to treat high potassium levels in adults. It's only available as a brand-name medication, which can be expensive.

Easy single-use packetsVELTASSA comes as a powder in single-use packets that you mix with 1/3 of a cup of water, apple juice, or cranberry juice and drink.

This medication is used to treat a high level of potassium in your blood. Too much potassium in your blood can sometimes cause heart rhythm problems. Patiromer helps get rid of extra potassium by binding to it.

Measure 1/3 cup of water, apple juice, or cranberry juice in a measuring cup. Pour half of the water, apple juice, or cranberry juice into an empty drinking glass. Pour all of the VELTASSA packet contents into the drinking glass with water, apple juice, or cranberry juice. Stir the mixture well.

Juice and soft foods, such as applesauce, yogurt, and pudding, can be used instead of water to prepare the mixture.

VELTASSA is a prescription medication used to treat high levels of potassium in your blood (hyperkalemia).

You may report side effects to FDA at 1-800-FDA-1088. Veltassa is a powder for suspension in water for oral administration. The active ingredient is patiromer sorbitex calcium which consists of the active moiety, patiromer, a non-absorbed potassium-binding polymer, and a calcium-sorbitol counterion.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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