Form MEDCO-31 (BWC-3931) Request for Prior Authorization of Medication - Ohio

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form MEDCO-31 (BWC-3931) for the current year.

Form MEDCO-31 (BWC-3931) Request for Prior Authorization of Medication - Ohio

What Is Form MEDCO-31 (BWC-3931)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MEDCO-31 (BWC-3931) form?
A: The MEDCO-31 (BWC-3931) form is a request for prior authorization of medication in the state of Ohio.

Q: What is the purpose of the MEDCO-31 (BWC-3931) form?
A: The purpose of the MEDCO-31 (BWC-3931) form is to seek approval from the Bureau of Workers' Compensation in Ohio for the use of a specific medication.

Q: Who needs to fill out the MEDCO-31 (BWC-3931) form?
A: Healthcare providers who are prescribing medication for workers' compensation patients in Ohio need to fill out the MEDCO-31 (BWC-3931) form.

Q: Are there any fees associated with the MEDCO-31 (BWC-3931) form?
A: No, there are no fees associated with the MEDCO-31 (BWC-3931) form.

Q: What information is required on the MEDCO-31 (BWC-3931) form?
A: The MEDCO-31 (BWC-3931) form requires information such as patient details, healthcare provider information, medication details, and supporting clinical documentation.

ADVERTISEMENT

Form Details:

  • Released on September 8, 2016;
  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • 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 printable version of Form MEDCO-31 (BWC-3931) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form MEDCO-31 (BWC-3931) Request for Prior Authorization of Medication - Ohio

4.5 of 5 (77 votes)
  • Form MEDCO-31 (BWC-3931) Request for Prior Authorization of Medication - Ohio, Page 1
ADVERTISEMENT