Form FA-61 Prior Authorization Request - Actemra (Tocilizumab) - Nevada
What Is Form FA-61?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on May 12, 2017;
- The latest edition provided by the Nevada Department of Health and Human Services;
- 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 fillable version of Form FA-61 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
