Instructions for Form DFS-F5-DWC-10 Statement of Charges for Drugs and Medical Supplies Form (Pharmacies and Home Medical Equipment Providers / Suppliers) - Florida

Form DFS-F5-DWC-10 Statement of Charges for Drugs and Medical Equipment & Supplies - Florida

This document contains official instructions for Form DFS-F5-DWC-10 , Statement of Charges for Drugs and Medical Supplies Form (Pharmacies and Home Medical Equipment Providers/Suppliers) - a form released and collected by the Florida Department of Financial Services. An up-to-date fillable Form DFS-F5-DWC-10 is available for download through this link.

FAQ

Q: What is Form DFS-F5-DWC-10?A: Form DFS-F5-DWC-10 is the Statement of Charges for Drugs and Medical Supplies Form for Pharmacies and Home Medical Equipment Providers/Suppliers in Florida.

Q: Who needs to use Form DFS-F5-DWC-10?A: Pharmacies and Home Medical Equipment Providers/Suppliers in Florida need to use Form DFS-F5-DWC-10.

Q: What is the purpose of Form DFS-F5-DWC-10?A: The purpose of Form DFS-F5-DWC-10 is to report charges for drugs and medical supplies provided by pharmacies and home medical equipment providers/suppliers in Florida.

Q: Are there any special instructions for filling out Form DFS-F5-DWC-10?A: Yes, there are specific instructions provided on the form itself. Make sure to read and follow them carefully.

Q: Is Form DFS-F5-DWC-10 mandatory?A: Yes, Form DFS-F5-DWC-10 is mandatory for pharmacies and home medical equipment providers/suppliers in Florida when reporting charges for drugs and medical supplies.

Q: Are there any fees associated with filing Form DFS-F5-DWC-10?A: There may be fees associated with filing Form DFS-F5-DWC-10. Please refer to the current fee schedule provided by the Florida Department of Financial Services.

Q: What should I do with the completed Form DFS-F5-DWC-10?A: The completed Form DFS-F5-DWC-10 should be sent to the Division of Workers' Compensation in Florida as instructed on the form.