The Washington Buprenorphine Transdermal Patch Authorization Request Form is a document provided by the Washington State Health Care Authority (HCA) to authorize the prescribing of buprenorphine transdermal patches to treat opioid addiction in eligible patients in the state of Washington. The form includes information about the patient's medical history, the diagnosis of opioid addiction, and the patient's treatment plan. The form must be completed and signed by the prescribing provider, the patient, and the patient's guardian (if applicable). There are two types of Washington Buprenorphine Transdermal Patch Authorization Request Forms: the short form and the long form. The short form is used to authorize the prescribing of up to a three-month supply of buprenorphine transdermal patches. The long form is used to authorize the prescribing of up to a six-month supply of buprenorphine transdermal patches.
Washington Buprenorphine Transdermal Patch Authorization Request Form
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How to fill out Washington Buprenorphine Transdermal Patch Authorization Request Form?
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FAQ
BUTRANS contains buprenorphine, a Schedule III controlled substance. BUTRANS exposes users to the risks of opioid addiction, abuse, and misuse.
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.
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.
Each patch should be worn continuously for 7 days. The new patch should be applied on a different skin area, preferably at the same time of day as the previous patch. Do not apply to the same skin area for the next 3-4 weeks. The patch should not fall off when you bathe or swim.
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.
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.
Training Video For Application of Transdermal Patches - YouTube YouTube Start of suggested clip End of suggested clip Underneath. You must avoid touching the sticky adhesive surface. With your fingers. Again toMoreUnderneath. You must avoid touching the sticky adhesive surface. With your fingers. Again to reiterate the skin we're applying the patch should not be wet oily.
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.