This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DHS-5953-ENG form?
A: The DHS-5953-ENG form is the Seroquel Quantity Limit Review and Criteria Sheet.
Q: What is Seroquel?
A: Seroquel is a medication used to treat certain mental disorders.
Q: What is the purpose of the Quantity Limit Review and Criteria Sheet?
A: The purpose of the Quantity Limit Review and Criteria Sheet is to evaluate the need for a quantity limit on Seroquel prescriptions.
Q: Is this form specific to Minnesota?
A: Yes, this form is specific to Minnesota.
Q: Who is responsible for filling out this form?
A: Healthcare providers are responsible for filling out this form.
Q: Are there any restrictions on the quantity of Seroquel that can be prescribed?
A: Yes, there may be quantity limits on Seroquel prescriptions.
Q: Why are there quantity limits on Seroquel?
A: Quantity limits on Seroquel prescriptions are in place to ensure appropriate use of the medication and prevent abuse.
Q: What criteria are used to determine the need for a quantity limit on Seroquel?
A: The DHS-5953-ENG form includes criteria that healthcare providers use to evaluate the need for a quantity limit on Seroquel prescriptions.
Q: Can a healthcare provider request an exception to the quantity limit?
A: Yes, healthcare providers can request an exception to the quantity limit if they believe it is medically necessary.
Form Details:
Download a fillable version of Form DHS-5953-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.