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Form FA-198 Aduhelm (Aducanumab) Prior Authorization Request Form - Nevada
What Is Form FA-198?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FA-198?
A: Form FA-198 is the Prior Authorization Request Form for Aduhelm (Aducanumab).
Q: What is Aduhelm (Aducanumab)?
A: Aduhelm (Aducanumab) is a medication used for the treatment of Alzheimer's disease.
Q: What is a Prior Authorization Request?
A: A Prior Authorization Request is a process where healthcare providers obtain approval from insurance companies before prescribing a specific medication.
Q: Why is prior authorization required for Aduhelm?
A: Prior authorization is required for Aduhelm to ensure that the medication is being used appropriately and meets the insurance company's criteria for coverage.
Q: Who needs to fill out Form FA-198?
A: Healthcare providers need to fill out Form FA-198 to request prior authorization for Aduhelm.
Q: Is Form FA-198 specific to Nevada?
A: Yes, Form FA-198 is specific to Nevada. It is the Prior Authorization Request Form for Aduhelm in Nevada.
Form Details:
- Released on March 31, 2022;
- The latest edition provided by the Nevada Department of Health and Human 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 printable version of Form FA-198 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form FA-198 Aduhelm (Aducanumab) Prior Authorization Request Form - Nevada
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