Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form - Washington

What Is Form F252-119-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form?
A: The Form F252-119-000 is a prior authorization request form for Lyrica (Pregabalin) medication in Washington.

Q: What is Lyrica (Pregabalin)?
A: Lyrica (Pregabalin) is a medication used to treat nerve pain, seizures, and fibromyalgia.

Q: Why is a prior authorization required for Lyrica (Pregabalin)?
A: A prior authorization is required for Lyrica (Pregabalin) because it is considered a specialty medication and insurance companies want to ensure its appropriate use.

Q: Who needs to fill out the Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form?
A: The Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form needs to be filled out by healthcare providers who are prescribing Lyrica (Pregabalin) to their patients in Washington.

Q: What information is required on the Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form?
A: The form requires information such as patient's demographics, medical history, prescriber information, diagnosis, and reason for prescribing Lyrica (Pregabalin).

Q: What do I do with the completed Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form?
A: Once completed, the form needs to be submitted to the patient's insurance company for review and approval.

Q: How long does it take for the prior authorization request to be approved?
A: The time frame for prior authorization approval varies depending on the insurance company, but it typically takes a few business days to a few weeks.

Q: What should I do if the prior authorization request is denied?
A: If the prior authorization request is denied, you can appeal the decision with additional supporting documentation or explore other treatment options with your healthcare provider.

Q: Is the Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form specific to Washington state?
A: Yes, the Form F252-119-000 Lyrica (Pregabalin) Prior Authorization Request Form is specific to Washington state.