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Form HCA13-0012 Exondys 51 (Eteplirsen) Request Form - Washington
What Is Form HCA13-0012?
This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Exondys 51 (Eteplirsen)?
A: Exondys 51 (Eteplirsen) is a medication used to treat a specific type of muscular dystrophy.
Q: What is HCA13-0012?
A: HCA13-0012 is the form number for the Exondys 51 (Eteplirsen) Request Form used in Washington.
Q: How do I request Exondys 51 (Eteplirsen)?
A: You can request Exondys 51 (Eteplirsen) by filling out the HCA13-0012 form and submitting it to the appropriate authority in Washington.
Q: Is Exondys 51 (Eteplirsen) covered by insurance in Washington?
A: Insurance coverage for Exondys 51 (Eteplirsen) may vary. It is recommended to check with your insurance provider for specific coverage details.
Q: Are there any eligibility criteria for receiving Exondys 51 (Eteplirsen)?
A: Yes, there may be specific eligibility criteria for receiving Exondys 51 (Eteplirsen) in Washington. These criteria can be found on the HCA13-0012 form.
Q: How long does it take to process the Exondys 51 (Eteplirsen) request?
A: The processing time for Exondys 51 (Eteplirsen) requests may vary. It is recommended to check with the appropriate authority for an estimated processing time.
Q: Are there any alternative treatments for muscular dystrophy?
A: There may be alternative treatments for muscular dystrophy. It is best to consult with a healthcare professional for information on alternative treatment options.
Form Details:
- Released on October 1, 2017;
- The latest edition provided by the Washington State Health Care Authority;
- 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 HCA13-0012 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
