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Form FA-182 Somavert (Pegvisomant) Prior Authorization Request Form - Nevada
What Is Form FA-182?
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-182?
A: Form FA-182 is a Prior Authorization Request Form for Somavert (Pegvisomant) medication.
Q: What is Somavert (Pegvisomant)?
A: Somavert is a medication used to treat acromegaly, a hormonal disorder.
Q: What is acromegaly?
A: Acromegaly is a hormonal disorder caused by excessive production of growth hormone.
Q: Why is form FA-182 required?
A: Form FA-182 is required to request prior authorization for the use of Somavert (Pegvisomant) medication in Nevada.
Q: How can I obtain form FA-182?
A: You can obtain form FA-182 from your healthcare provider or insurance company.
Q: Is Somavert (Pegvisomant) covered by insurance in Nevada?
A: Coverage for Somavert (Pegvisomant) may vary depending on your insurance plan. Please contact your insurance company to verify coverage.
Q: What other treatments are available for acromegaly?
A: Other treatments for acromegaly may include surgery, radiation therapy, and medications.
Q: Who should I contact for more information about form FA-182?
A: You should contact your healthcare provider or insurance company for more information about form FA-182.
Form Details:
- Released on November 30, 2020;
- 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-182 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
