Instructions for Form F-11097 Prior Authorization / Preferred Drug List (Pa / Pdl) for Stimulants and Related Agents - Wisconsin

Form F-11097 Prior Authorization/Preferred Drug List (Pa/Pdl) for Stimulants and Related Agents - Wisconsin

This document contains official instructions for Form F-11097 , Prior Authorization/Preferred Drug List (Pa/Pdl) for Stimulants and Related Agents - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-11097 is available for download through this link.

FAQ

Q: What is Form F-11097?
A: Form F-11097 is a document used for Prior Authorization/Preferred Drug List (Pa/Pdl) for Stimulants and Related Agents in Wisconsin.

Q: What is Prior Authorization/Preferred Drug List (Pa/Pdl)?
A: Prior Authorization/Preferred Drug List (Pa/Pdl) is a program that requires certain medications to be approved by the insurance company before they can be covered.

Q: What are stimulants and related agents?
A: Stimulants and related agents are medications used to treat conditions such as attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Q: Why is Prior Authorization/Preferred Drug List (Pa/Pdl) required for stimulants and related agents?
A: Prior Authorization/Preferred Drug List (Pa/Pdl) is required for stimulants and related agents to ensure appropriate use of these medications and control costs.

Q: What information is required on Form F-11097?
A: Form F-11097 requires information such as patient demographics, prescriber information, diagnosis, and details about the requested medication.

Q: How long does it take to get a prior authorization approval?
A: The time taken to get prior authorization approval can vary, but typically it takes a few business days.

Q: What should I do if my prior authorization request is denied?
A: If your prior authorization request is denied, you can appeal the decision with additional supporting documentation.

Q: What is the Preferred Drug List (PDL)?
A: The Preferred Drug List (PDL) is a list of medications that are preferred by the insurance company and may have lower out-of-pocket costs for the patient.

Q: Can I still get a non-preferred medication if it is medically necessary?
A: Yes, you can still get a non-preferred medication if it is medically necessary, but you may need to go through the prior authorization process.