Form 1325 Synagis Prior Authorization Addendum - Texas

What Is Form 1325?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum is a document used in Texas for obtaining prior authorization for the medication Synagis.

Q: What is Synagis medication used for?
A: Synagis is a medication used to prevent respiratory syncytial virus (RSV) in high-risk infants.

Q: Who needs to fill out Form 1325 Synagis Prior Authorization Addendum?
A: The form needs to be filled out by the healthcare provider who is prescribing Synagis for a patient in Texas.

Q: What information is required on Form 1325 Synagis Prior Authorization Addendum?
A: The form requires information such as patient demographics, medical history, diagnosis, and the healthcare provider's information.

Q: Is there a fee for submitting Form 1325 Synagis Prior Authorization Addendum?
A: There is no fee for submitting the form.

Q: How long does it take to get approval after submitting the form?
A: The approval timeframe may vary, but it typically takes a few business days to receive a response.

Q: What should I do if my prior authorization request is denied?
A: If your prior authorization request is denied, you can appeal the decision and provide additional supporting documentation to support your request.

Q: Can I submit Form 1325 Synagis Prior Authorization Addendum by mail?
A: Yes, you can also submit the form by mail to the address provided on the form.