All Questions are Mandatory!
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1.Did your physician or pharmacist inform you of Mylan Pharmaceuticals ULC’s Clarus® CLEARTM Program Website (clarusclearprogram.ca)?
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2.Did your physician discuss the effective methods of birth control before beginning therapy?
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3.Did you complete an informed consent form with your Clarus® prescriber?
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4.Were you provided with or did you download the Clarus® educational materials?
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5.You must have ___ negative pregnancy tests before starting Clarus® therapy.
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6.How many methods of birth control should you use while on Clarus® therapy?
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7.You must have a pregnancy test performed in an approved laboratory ___ while taking Clarus®.
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8.You must have a pregnancy test performed in an approved laboratory one month after stopping treatment with Clarus®.
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9.If you choose to continue treatment with Clarus® you must obtain a new prescription each month.
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10.Pregnancy testing, issuing a prescription and dispensing of Clarus® should occur on the same day.
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11.If you become pregnant while using Clarus® you must notify your physician immediately.
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12.If you have unprotected sex while taking Clarus® notify your doctor immediately and discuss emergency contraception such as Plan B or Contingency ONE.
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13.Which of the following is not an acceptable form of effective birth control?
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14.Which of the following is a serious side effect of Clarus®?
