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**PLEASE DO NOT FOLLOW INSTRUCTIONS ON PREP BOX**

You must have a responsible adult to drive you home. If you do not have a ride arranged, we will not be able to perform the procedure.

• Call your pharmacy prior to picking up the prep to ensure they have the prescription.
• Medications
  • Blood-thinning medications may need to be discontinued. Take your last dose of on
  • If you are currently taking Diabetes/Weight Loss injections such as Ozempic, Mounjaro, Trulicity, Farxiga, Zepbound or Wegovy; you will need to discontinue taking this medication 1 WEEK PRIOR TO PROCEDURE.
  • May continue to take regular medications, unless instructed by provider or nursing staff
    • Stop Taking
      • Prescription Iron pills
    • Stop Eating
      • Seeds, nuts, tomatoes, berries, corn, popcorn, and breads with seeds or nuts 1 week prior to procedure.
      • Pick up prep from your pharmacy

ONE DAY BEFORE COLONOSCOPY

• Start clear liquid diet as soon as you awake. No solid foods, dairy or non-dairy products, juices with pulp, red or purple colors, and alcohol.
• Clear Liquids include: Water, Apple Juice, Gatorade, Broth, Jello, Popsicles, soda, etc.
• Open first bottle of Sutab(12 pill) at 6:00 PM:
  • Sutab contains two-12 pill bottles. You will take one bottle the night before the colonoscopy and the second bottle the morning of the colonoscopy.
  • Start taking prep at 6:00 pm
    • Add water to the 16 oz. Fill line on the container.
    • Swallow each tablet with a sip of water. Complete the 12 tablets and 16 oz of water over 15 to 20 minutes.(If you become uncomfortable take the tablets and water slower)
    • Approximately 1 hour after the last tablet is taken, fill the16 oz. container a second time up to the fill line and drink the entire (16oz) over 30 minutes.
    • Approximately 30 minutes after finishing the second container of water, Fill the provided container with 16 oz of water up to fill line again and drink entire amount over 30 minutes.
• Patients that are Diabetic
  • Evening Dose Only: Take ½ the dose of your diabetic medication(s) the day before your procedure
  • No dose the day of the procedure.

DAY OF COLONOSCOPY

• Continue clear liquid diet–No Solid Food.
  Six (6) hours prior to procedure:
• Add water to the 16 oz.fill line on the container.
• Swallow each tablet with a sip of water. Complete the 12 tablets and 16 oz of water over 15 to 20 minutes.(If you become uncomfortable take the tablets and water slower)
• Approximately 1 hour after the last tablet is taken, fill the16 oz. container a second time up to the fill line and drink the entire (16oz) over 30 minutes.
• Approximately 30 minutes after finishing the second container of water, Fill the provided container with 16 oz of water up to fill line again and drink entire amount over 30 minutes.
• NOTHING TO EAT OR DRINK Three (3) HOURS PRIOR TO PROCEDURE.

Preparation Instructions

Call your insurance plan to ensure they will cover your procedure. Please note there will be separate fees for the Physician, Facility, Anesthesia, Pathology and/or Laboratory. Alaska Digestive and Liver Disease will not verify benefits for your procedure.

If a prior authorization is required from your insurance, we will process that. This is not a guarantee your insurance will still cover and pay fully for your procedure.

Please note copays/deductibles will need to be paid for the provider and the facility.

If a procedure needs to be rescheduled or canceled, please call at least 4 days prior to avoid a $100 cancellation fee.

*If Tissue samples are obtained during your procedure, the results will be posted to your patient portal, if web-enabled within 2 weeks. If not they will be mailed.

Patient Notice Regarding Colonoscopy and Endoscopy Procedure Fees

Dear Patient,
This notice is to inform you that colonoscopy and endoscopy procedures may involve separate fees from both the provider performing the procedure and the facility where the procedure takes place.
These services are billed independently, which means:

• The provider (gastroenterologist or specialist) will bill for their professional services.
• The facility (hospital or outpatient surgical center) will bill for the use of the procedure room, equipment, nursing staff, and related support services.

Depending on your insurance coverage, you may be responsible for a portion of these charges, including deductibles, copayments, or coinsurance.

To obtain an accurate estimate of your out-of-pocket costs:
Please contact both of the following:

1. Your Provider’s Office – to request an estimate of the provider’s fees
2. The Facility or Endoscopy Center – to request an estimate of the facility fees

Sincerely,
Alaska Digestive & Liver Disease

FACILITY CONTACT LIST

ALASKA DIGESTIVE CENTER
4048 LAUREL STE STE 103A
ANCHORAGE, AK 99508
Phone: (907) 563-1750
Billing: (949) 522-6861

PROVIDENCE ALASKA MEDICAL CENTER

3200 PROVIDENCE DR.
ANCHORAGE, AK 99508
Phone: (907) 562-2211
Billing: (866) 747-2455

ALASKA REGIONAL HOSPITAL

2801 DEBARR RD.
ANCHORAGE, AK 99508
Phone: (907) 276-1131
Billing: (800) 370-1983