Washington Buprenorphine Transdermal Patch Authorization Request Form is a document used in the state of Washington to request authorization for the use of buprenorphine transdermal patch systems for the treatment of opioid use disorder. The form is completed by a qualified healthcare provider and submitted to the Washington State Department of Health for review and approval. The form includes information on the patient, the prescribing provider, the medication to be prescribed, and the clinical rationale for the request. There are two types of Washington Buprenorphine Transdermal Patch Authorization Request Forms: one for new patients and one for existing patients. Both forms must be completed and submitted to the Washington State Department of Health for review and approval.
Washington Buprenorphine Transdermal Patch Authorization Request Form
Description
How to fill out Washington Buprenorphine Transdermal Patch Authorization Request Form?
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FAQ
Starting a buprenorphine patch Apply patch; continue the immediate release opioid 4 hourly for the next 12 hours. Apply patch when the last dose of a 12 hourly, modified release opioid is given. Apply the patch and continue the infusion for the next 12 hours, then stop the infusion.
The transdermal buprenorphine patch should be applied to intact skin on the flat surfaces of the upper outer arm, upper chest, upper back, or the side of the chest.
How to use Buvalor 10mg Transdermal Patch? Buvalor 10mg Transdermal Patch should be applied to a clean, dry, rash-free, hairless, or nearly hairless area of skin on the upper chest, back, or arm, or side of the chest.
Choose an area of non-irritated, intact skin on your upper arm, outer arm, upper chest, upper back or side of the chest. Ask for assistance if you cannot apply the patch yourself. The Buprenorphine patch should be applied to a relatively hairless or nearly hairless skin site.
Apply the patch to a clean, dry area. You can choose any area on your stomach, hip, thigh, shoulder, upper arm or flank (side of the body between the ribs and pelvis). Make sure that the area of skin is not oily, cut, blistered or irritated.
You can apply a buprenorphine patch to your upper outer arms, upper chest, upper back, or the side of your chest. Choose an area of skin that is flat and hairless. Do not apply the patch to parts of the body that irritated, broken, cut, damaged, or changed in any way.
BUTRANS contains buprenorphine, a Schedule III controlled substance. BUTRANS exposes users to the risks of opioid addiction, abuse, and misuse.
DIRECTIONS FOR USE Wash and dry the area where the transdermal patch must be placed. Choose a non-irritated, intact skin, relatively hairless or nearly hairless skin area on your upper arm, outer arm, upper chest, upper back, or side of the chest to apply the patch.