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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FA-151
for the current year.
Form FA-151 Calcitonin Gene-Related Peptide (Cgrp) Receptor Inhibitor Medications Prior Authorization Request Form - Nevada
What Is Form FA-151?
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-151?
A: Form FA-151 is the Prior Authorization Request Form for Calcitonin Gene-Related Peptide (Cgrp) Receptor Inhibitor Medications in Nevada.
Q: What are Calcitonin Gene-Related Peptide (Cgrp) Receptor Inhibitor Medications?
A: Calcitonin Gene-Related Peptide (Cgrp) Receptor Inhibitor Medications are a type of medication used for the treatment of migraine headaches.
Q: What is the purpose of Form FA-151?
A: The purpose of Form FA-151 is to request prior authorization for Calcitonin Gene-Related Peptide (Cgrp) Receptor Inhibitor Medications in Nevada.
Q: Who needs to complete Form FA-151?
A: Healthcare providers who are prescribing Calcitonin Gene-Related Peptide (Cgrp) Receptor Inhibitor Medications in Nevada need to complete Form FA-151.
Form Details:
- 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 printable version of Form FA-151 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
