Instructions for Form F-01430 Prior Authorization Drug Attachment for Xyrem and Xywav - Wisconsin

Form F-01430 Prior Authorization Drug Attachment for Xyrem and Xywav - Wisconsin

This document contains official instructions for Form F-01430 , Prior Authorization Drug Attachment for Xyrem and Xywav - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-01430 is available for download through this link.

FAQ

Q: What is Form F-01430?
A: Form F-01430 is a prior authorization drug attachment specifically for Xyrem and Xywav in the state of Wisconsin.

Q: What is Xyrem and Xywav?
A: Xyrem and Xywav are medications used to treat a sleep disorder called narcolepsy.

Q: What is a prior authorization?
A: A prior authorization is a process where your healthcare provider requests approval from your insurance company before certain medications are covered.

Q: Why do I need to fill out Form F-01430?
A: You need to fill out Form F-01430 if you want your insurance to cover Xyrem or Xywav.

Q: What information do I need to provide on Form F-01430?
A: You will need to provide your personal information, healthcare provider's information, and details about your medical condition and prescription.

Q: How long does it take to process a prior authorization?
A: The processing time may vary, but it typically takes around 5-7 business days.

Q: What should I do if my prior authorization is denied?
A: If your prior authorization is denied, you can appeal the decision or discuss alternative medications with your healthcare provider.

Q: Do I need to submit Form F-01430 for every refill?
A: No, you only need to submit Form F-01430 once unless your insurance company specifically requests an updated form.