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Form 1317 Pharmacy Eligibility Verification Portal Access Form - Texas
What Is Form 1317?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 1317?
A: Form 1317 is the Pharmacy Eligibility Verification Portal Access Form.
Q: What is the purpose of Form 1317?
A: The purpose of Form 1317 is to request access to the Pharmacy Eligibility Verification Portal.
Q: Who can use Form 1317?
A: Pharmacies in Texas can use Form 1317 to request access.
Q: How do pharmacies request access to the Pharmacy Eligibility Verification Portal?
A: Pharmacies can request access by submitting Form 1317.
Q: Is there a fee for accessing the Pharmacy Eligibility Verification Portal?
A: No, there is no fee for accessing the Pharmacy Eligibility Verification Portal.
Q: What information is required on Form 1317?
A: Form 1317 requires pharmacy details, contact information, and agreement to the terms and conditions.
Q: How long does it take to process Form 1317?
A: The processing time for Form 1317 may vary, but it typically takes a few days.
Q: Who should pharmacies contact for assistance with Form 1317?
A: Pharmacies can contact the Pharmacy Benefit Access Help Desk for assistance with Form 1317.
Q: Can pharmacies access the Pharmacy Eligibility Verification Portal without submitting Form 1317?
A: No, pharmacies need to submit Form 1317 to request access to the Portal.
Form Details:
- Released on October 1, 2017;
- The latest edition provided by the Texas 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 fillable version of Form 1317 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
