Cbhs Formulary Change Request Form - City and County of San Francisco, California

Cbhs Formulary Change Request Form - City and County of San Francisco, California

Cbhs Formulary Change Request Form is a legal document that was released by the Department of Public Health - City and County of San Francisco, California - a government authority operating within California. The form may be used strictly within City and County of San Francisco.

FAQ

Q: What is the CBHS Formulary Change Request Form?
A: It is a form used in San Francisco, California to request a change to the CBHS formulary.

Q: What is CBHS?
A: CBHS stands for City and County of San Francisco Behavioral Health Services.

Q: Why would someone need to request a formulary change?
A: A person may need to request a formulary change if the medication they need is not currently on the CBHS formulary.

Q: Is there a cost to submit a CBHS Formulary Change Request?
A: There is no cost to submit the request.

Q: What happens after I submit a CBHS Formulary Change Request?
A: The request will be reviewed and a decision will be made whether to add the medication to the formulary.

Q: How long does it take to process a CBHS Formulary Change Request?
A: The processing time can vary, but typically takes several weeks.

Q: Can I appeal if my CBHS Formulary Change Request is denied?
A: Yes, you can appeal the decision if your request is denied.

Q: Who can I contact for more information about the CBHS Formulary Change Request Form?
A: You can contact CBHS for more information and assistance with the formulary change request.

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Form Details:

  • Released on August 3, 2006;
  • The latest edition currently provided by the Department of Public Health - City and County of San Francisco, California;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Department of Public Health - City and County of San Francisco, California.

Download Cbhs Formulary Change Request Form - City and County of San Francisco, California

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