Form SFN61294 Request for Latent Tb Infection (Ltbi) Medications - North Dakota

What Is Form SFN61294?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is SFN61294?
A: SFN61294 is the form used to request medications for Latent TB Infection (LTBI) in North Dakota.

Q: What is Latent TB Infection (LTBI)?
A: Latent TB Infection (LTBI) is when a person has the TB bacteria in their body but does not have active TB disease.

Q: What are the medications for LTBI?
A: The medications commonly used to treat LTBI include isoniazid (INH) and rifampin (RIF).

Q: How do I request LTBI medications using SFN61294?
A: You can use SFN61294 form to request LTBI medications by filling it out with your personal information and medical history, and submitting it to the appropriate healthcare provider or agency.

Q: Do I need a prescription to get LTBI medications?
A: Yes, LTBI medications can only be obtained with a prescription from a healthcare provider.

Q: Are LTBI medications free in North Dakota?
A: The cost of LTBI medications may vary based on factors such as insurance coverage and program eligibility. It is recommended to check with your healthcare provider or the relevant agency for information about cost and coverage.

Q: What should I do if I have more questions about LTBI medications?
A: If you have more questions about LTBI medications, it is best to consult with your healthcare provider or the relevant healthcare agency in North Dakota for accurate and detailed information.