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Form 410-C Child Growth Failure / Mecasermin Pa Request Form - Alabama
What Is Form 410-C?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 410-C?
A: Form 410-C is a Child Growth Failure/Mecasermin PA Request Form.
Q: What is the purpose of Form 410-C?
A: Form 410-C is used to request PA (prior authorization) for Mecasermin.
Q: What is Child Growth Failure?
A: Child Growth Failure refers to a condition in which a child's growth is significantly below average for their age.
Q: What is Mecasermin?
A: Mecasermin is a medication prescribed to treat growth failure in children.
Q: Who can use Form 410-C?
A: Form 410-C is used by healthcare professionals in Alabama.
Form Details:
- Released on August 3, 2022;
- The latest edition provided by the Alabama Medicaid Agency;
- 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 410-C by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
