Epinephrine Auto-Injector Authorization Form 2025

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The correct statement regarding the epinephrine auto-injector is that it delivers a preset amount of the drug.
Epinephrine comes in the form of easy-to-use auto-injectors or a nasal spray. It is only available through a prescription from your doctor. If you or your child have severe food allergies, you need to have epinephrine quickly and easily available at all times.
If you are diagnosed with a life-threatening allergy such as a peanut allergy or a bee sting allergy, your healthcare provider can write a prescription for an EpiPen (or similar device). Then, like any prescription, you will need to fill and purchase it from a pharmacy (or online pharmacy).
Document the incident, complete and submit any required reporting forms to the appropriate staff. Include in the documentation the date and time epinephrine auto-injector was administered, the individuals response, and additional pertinent information.
EpiPen may require prior authorization before your insurance plan will cover the cost of this medication. Your insurance company (if you have insurance) may require prior authorization for certain medications before it covers the cost of the drug.
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Place the orange tip against the middle of the outer thigh (upper leg) at a right angle (perpendicular) to the thigh. Swing and push the auto-injector firmly until it clicks. The click signals that the injection has started.
Once epinephrine is administered, you should call 911 immediately and advise dispatchers that you have just used epinephrine for a suspected anaphylactic reaction. Make arrangements to be transported to an emergency room for additional treatment and for observation.

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