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Form F-13072 Noncompound Drug Claim - Wisconsin
What Is Form F-13072?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form F-13072?
A: Form F-13072 is a Noncompound Drug Claim form used in the state of Wisconsin.
Q: Who uses Form F-13072?
A: Form F-13072 is used by pharmacies and healthcare providers in Wisconsin to submit noncompound drug claims.
Q: What is a noncompound drug?
A: A noncompound drug is a medication that is not a mixture or combination of different drugs.
Q: What information is required on Form F-13072?
A: Form F-13072 requires information such as patient details, prescribing healthcare provider information, medication details, and billing information.
Form Details:
- Released on April 1, 2017;
- The latest edition provided by the Wisconsin Department of Health 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 F-13072 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
