Drug Formulary Addition Request Form - Mhcp Program Hh - Minnesota

Drug Formulary Addition Request Form - Mhcp Program Hh - Minnesota

Drug Formulary Addition Request Form - Mhcp Program Hh is a legal document that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota.

FAQ

Q: What is the Drug Formulary Addition Request Form?A: The Drug Formulary Addition Request Form is a request form to add a medication to the Minnesota Health Care Programs (MHCP) formulary.

Q: What is the MHCP program?A: The MHCP program refers to the Minnesota Health Care Programs, which includes Medical Assistance (MA), MinnesotaCare, and other state health care programs.

Q: Who can use the Drug Formulary Addition Request Form?A: Health care providers and pharmacists can use the Drug Formulary Addition Request Form to request the addition of a medication to the MHCP formulary.

Q: What is the MHCP formulary?A: The MHCP formulary is a list of medications that are covered by the Minnesota Health Care Programs.

Q: Why would someone need to request a drug formulary addition?A: Someone may need to request a drug formulary addition if a medication they prescribe or dispense is not currently on the MHCP formulary and they believe it should be.

Q: How do I submit a drug formulary addition request?A: You can submit a drug formulary addition request by completing the Drug Formulary Addition Request Form and submitting it to the MHCP pharmacy benefits administrator.

Q: Is there a deadline for submitting a drug formulary addition request?A: There is no specific deadline for submitting a drug formulary addition request, but it is recommended to submit the request as soon as possible.

Q: How long does it take for a drug formulary addition request to be reviewed?A: The review process for a drug formulary addition request typically takes up to 90 days.

Q: Will I be notified of the decision on my drug formulary addition request?A: Yes, you will be notified of the decision on your drug formulary addition request.

Q: Can I appeal the decision on my drug formulary addition request?A: Yes, you have the right to appeal the decision on your drug formulary addition request if it is denied.

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Form Details:

  • The latest edition currently provided by the Minnesota Department of Human Services;
  • 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 Minnesota Department of Human Services.

Download Drug Formulary Addition Request Form - Mhcp Program Hh - Minnesota

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