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Form HCA13-0011 Nucala (Mepolizumab Sc Injection) Request Form - Washington
What Is Form HCA13-0011?
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 HCA13-0011?
A: Form HCA13-0011 is a request form for Nucala (Mepolizumab Sc Injection) in Washington.
Q: What is Nucala?
A: Nucala is a medication called Mepolizumab Sc Injection used to treat severe eosinophilic asthma.
Q: Who can use Nucala?
A: Nucala is for adult patients with severe eosinophilic asthma.
Q: What is eosinophilic asthma?
A: Eosinophilic asthma is a type of asthma characterized by high levels of eosinophils, a type of white blood cell, in the lungs and airways.
Q: How is Nucala administered?
A: Nucala is administered as a subcutaneous (under the skin) injection.
Q: Do I need a prescription to get Nucala?
A: Yes, you need a prescription from a healthcare provider to get Nucala.
Q: How can I obtain Form HCA13-0011?
A: You can obtain Form HCA13-0011 from your healthcare provider or the Washington State Health Care Authority.
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 HCA13-0011 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
