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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.
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.
