How to use or fill out opsumit scripts with our platform
- Click ‘Get Form’ to open the opsumit scripts in the editor.
- Begin by entering the member's last name, first name, SCAN ID number, and date of birth in the designated fields.
- Fill in the prescriber’s name, contact person, office phone, office fax, medication, and diagnosis as required.
- In SECTION A, answer each question regarding the treatment of pulmonary arterial hypertension (PAH) by selecting 'Yes' or 'No'. Provide additional information where prompted.
- Document baseline liver function tests and hemoglobin levels in the specified areas if applicable.
- In SECTION B, ensure that the physician signs and dates the form before submission.
- Once completed, fax the form to 1-877-251-5896 as instructed.
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