DSHS Form 13-925 Request for Formulary Admission or Deletion - Washington

DSHS Form 13-925 Request for Formulary Admission or Deletion - Washington

What Is DSHS Form 13-925?

This is a legal form that was released by the Washington State Department of Social and Health Services - 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 DSHS Form 13-925?
A: DSHS Form 13-925 is a form used in Washington to request for formulary admission or deletion.

Q: Who uses DSHS Form 13-925?
A: Individuals or organizations in Washington who want to request for a medication to be added or removed from the formulary.

Q: What is a formulary?
A: A formulary is a list of medications covered by a specific health insurance plan or program.

Q: Why would someone use DSHS Form 13-925?
A: Someone would use this form to request for a medication to be added or removed from the formulary.

Q: Is there a fee associated with submitting this form?
A: No, there is no fee for submitting DSHS Form 13-925.

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Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the Washington State Department of Social and Health 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 DSHS Form 13-925 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 13-925 Request for Formulary Admission or Deletion - Washington

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