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Form HCA13-897 Infliximab Injection Request - Washington
What Is Form HCA13-897?
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 Form HCA13-897?
A: Form HCA13-897 is a request form for Infliximab Injection in Washington.
Q: How can I obtain Form HCA13-897?
A: You can obtain Form HCA13-897 from your healthcare provider or the Washington Department of Health.
Q: What is Infliximab Injection?
A: Infliximab Injection is a medication used to treat certain autoimmune diseases.
Q: Who can use Infliximab Injection?
A: Infliximab Injection is typically used by patients with conditions such as rheumatoid arthritis, Crohn's disease, and psoriasis.
Q: Why do I need to fill out this form?
A: Form HCA13-897 is required to request coverage for Infliximab Injection in the state of Washington.
Q: What information do I need to provide on the form?
A: The form will require you to provide information about your healthcare provider, your diagnosis, and your insurance coverage.
Q: Are there any fees associated with submitting this form?
A: There may be fees associated with Infliximab Injection depending on your insurance coverage.
Form Details:
- Released on May 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 printable version of Form HCA13-897 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA13-897 Infliximab Injection Request - Washington
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