DSHS Form 13-925A Behavioral Health Administration (Bha) Non-formulary Drug Use Request - Washington

DSHS Form 13-925A Behavioral Health Administration (Bha) Non-formulary Drug Use Request - Washington

What Is DSHS Form 13-925A?

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 Form 13-925A?
A: Form 13-925A is a Behavioral Health Administration (BHA) Non-formulary Drug Use Request form.

Q: Who can use Form 13-925A?
A: This form can be used by healthcare providers in Washington state.

Q: What is the purpose of Form 13-925A?
A: The purpose of this form is to request the use of non-formulary drugs for behavioral health treatment.

Q: What is a non-formulary drug?
A: A non-formulary drug is a medication that is not typically covered by insurance or included in a standard formulary.

Q: Why would someone need to request non-formulary drug use?
A: There may be certain cases where a non-formulary drug is necessary for a patient's treatment when other options have been exhausted.

Q: Is there a specific process for submitting Form 13-925A?
A: Yes, the form must be completed by the healthcare provider, including supporting documentation, and submitted to the BHA for review.

Q: How long does it take to get a response for a non-formulary drug use request?
A: The timeframe for a response may vary, but typically it takes several weeks for the BHA to review and make a decision on the request.

Q: Is there an appeals process if a non-formulary drug use request is denied?
A: Yes, if a request is denied, there is an appeals process available for healthcare providers to pursue.

Q: Who can I contact for more information about Form 13-925A?
A: For more information, you can contact the Behavioral Health Administration (BHA) in Washington state.

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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 13-925A 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 13-925A Behavioral Health Administration (Bha) Non-formulary Drug Use Request - Washington

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