Form 1325 Synagis Prior Authorization Addendum (Cshcn) - Texas

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Form 1325 Synagis Prior Authorization Addendum (Cshcn) - Texas

What Is Form 1325?

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 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum is a document used in Texas for requesting prior authorization for Synagis, a medication used to prevent respiratory syncytial virus (RSV) in high-risk children.

Q: What is Synagis?
A: Synagis is a medication used to prevent respiratory syncytial virus (RSV) in high-risk children.

Q: What is respiratory syncytial virus (RSV)?
A: Respiratory syncytial virus (RSV) is a common virus that can cause respiratory infections in people of all ages, but it is particularly dangerous for infants and young children.

Q: Who can use Form 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum is used by healthcare providers in Texas who need to request prior authorization for Synagis on behalf of their patients.

Q: What is the purpose of Form 1325 Synagis Prior Authorization Addendum?
A: The purpose of Form 1325 Synagis Prior Authorization Addendum is to obtain prior authorization from the Texas Department of State Health Services (DSHS) for the coverage of Synagis for high-risk children.

Q: What information is required on Form 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum requires information such as patient demographics, medical history, diagnosis, prescribing physician information, and supporting documentation.

Q: Is there a fee for submitting Form 1325 Synagis Prior Authorization Addendum?
A: No, there is no fee for submitting Form 1325 Synagis Prior Authorization Addendum.

Q: How long does it take to get a response after submitting Form 1325 Synagis Prior Authorization Addendum?
A: The processing time for Form 1325 Synagis Prior Authorization Addendum can vary, but it usually takes a few business days to receive a response from the Texas Department of State Health Services (DSHS).

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Form Details:

  • Released on December 1, 2021;
  • 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 1325 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1325 Synagis Prior Authorization Addendum (Cshcn) - Texas

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