Instructions for Form F-00401 Preferred Drug List (Pdl) Expedited Emergency Supply Request - Wisconsin

Form F-00401 Preferred Drug List (Pdl) Expedited Emergency Supply Request - Wisconsin

This document contains official instructions for Form F-00401 , Preferred Emergency Supply Request - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-00401 is available for download through this link.

FAQ

Q: What is Form F-00401?
A: Form F-00401 is a document for requesting expedited emergency supply of drugs listed on the Preferred Drug List (PDL) in Wisconsin.

Q: What is the purpose of Form F-00401?
A: The purpose of Form F-00401 is to request urgent supply of drugs listed on the Preferred Drug List (PDL) in Wisconsin.

Q: What is the Preferred Drug List (PDL)?
A: The Preferred Drug List (PDL) is a list of drugs that have been selected by a healthcare organization as preferred options for prescribing in Wisconsin.

Q: When should Form F-00401 be used?
A: Form F-00401 should be used when there is an urgent need for a drug listed on the Preferred Drug List (PDL) in Wisconsin.

Q: Who can fill out Form F-00401?
A: Form F-00401 can be filled out by a healthcare provider or a patient in need of an expedited emergency supply of a drug listed on the Preferred Drug List (PDL) in Wisconsin.

Q: Are there any fees associated with Form F-00401?
A: There may be fees associated with the expedited emergency supply request using Form F-00401, depending on the healthcare organization or pharmacy in Wisconsin.

Q: How long does it take to process a Form F-00401?
A: The processing time for Form F-00401 may vary depending on the healthcare organization or pharmacy, but it is designed to expedite the request for urgent drug supply in Wisconsin.

Q: Can Form F-00401 be used for non-emergency medication needs?
A: Form F-00401 is specifically designed for expedited emergency supply requests and may not be applicable for non-emergency medication needs in Wisconsin.

Q: What should I do if my request on Form F-00401 is denied?
A: If your request on Form F-00401 is denied, you should contact the healthcare organization or pharmacy managing the Preferred Drug List (PDL) in Wisconsin for further assistance or alternative options.