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Drug Formulary Addition Request Form - Mhcp Program Hh - Minnesota
Drug Formulary Addition Request Form - Mhcp Program Hh is a legal document that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota.
FAQ
Q: What is the Drug Formulary Addition Request Form?
A: The Drug Formulary Addition Request Form is a request form to add a medication to the Minnesota Health Care Programs (MHCP) formulary.
Q: What is the MHCP program?
A: The MHCP program refers to the Minnesota Health Care Programs, which includes Medical Assistance (MA), MinnesotaCare, and other state health care programs.
Q: Who can use the Drug Formulary Addition Request Form?
A: Health care providers and pharmacists can use the Drug Formulary Addition Request Form to request the addition of a medication to the MHCP formulary.
Q: What is the MHCP formulary?
A: The MHCP formulary is a list of medications that are covered by the Minnesota Health Care Programs.
Q: Why would someone need to request a drug formulary addition?
A: Someone may need to request a drug formulary addition if a medication they prescribe or dispense is not currently on the MHCP formulary and they believe it should be.
Q: How do I submit a drug formulary addition request?
A: You can submit a drug formulary addition request by completing the Drug Formulary Addition Request Form and submitting it to the MHCP pharmacy benefits administrator.
Q: Is there a deadline for submitting a drug formulary addition request?
A: There is no specific deadline for submitting a drug formulary addition request, but it is recommended to submit the request as soon as possible.
Q: How long does it take for a drug formulary addition request to be reviewed?
A: The review process for a drug formulary addition request typically takes up to 90 days.
Q: Will I be notified of the decision on my drug formulary addition request?
A: Yes, you will be notified of the decision on your drug formulary addition request.
Q: Can I appeal the decision on my drug formulary addition request?
A: Yes, you have the right to appeal the decision on your drug formulary addition request if it is denied.
Form Details:
- The latest edition currently provided by the Minnesota Department of Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
