This version of the form is not currently in use and is provided for reference only. Download this version of Form 1325 for the current year.
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.
Q: What is Form 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum is a document used in Texas for children with special healthcare needs (CSHCN) to request prior authorization for the medication Synagis.
Q: What is Synagis?
A: Synagis is a medication used to prevent serious respiratory tract infections in children at high risk, particularly premature infants.
Q: Who uses Form 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum is used by parents or guardians of children with special healthcare needs in Texas.
Q: What is the purpose of Form 1325 Synagis Prior Authorization Addendum?
A: The purpose of this form is to request prior authorization for the medication Synagis for a child with special healthcare needs in Texas.
Form Details:
Download a fillable version of Form 1325 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.