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Form FA-78 Prior Authorization Request - Kineret (Anakinra) - Nevada
What Is Form FA-78?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FA-78?
A: Form FA-78 is a Prior Authorization Request form.
Q: What is the purpose of Form FA-78?
A: The purpose of Form FA-78 is to request prior authorization for the medication Kineret (Anakinra) in Nevada.
Q: What is Kineret?
A: Kineret is a medication with the active ingredient Anakinra.
Q: What is prior authorization?
A: Prior authorization is a process by which the insurance company approves coverage for a specific medication or medical procedure.
Q: Why do I need to submit a prior authorization request?
A: You need to submit a prior authorization request to obtain coverage for Kineret in Nevada.
Form Details:
- Released on July 28, 2017;
- The latest edition provided by the Nevada Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form FA-78 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
