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.
Q: What is Form FA-63?
A: Form FA-63 is a Prior Authorization Request form for PDL Exception (Non-preferred Drugs) in Nevada.
Q: What is a Prior Authorization Request?
A: A Prior Authorization Request is a process to get approval from your insurance plan to cover a specific medication.
Q: What is PDL?
A: PDL stands for Preferred Drug List. It is a list of medications preferred by your insurance plan.
Q: What is a PDL Exception?
A: A PDL Exception is a request to your insurance plan to cover a non-preferred medication.
Q: Who needs to use Form FA-63?
A: Anyone in Nevada who needs to request a PDL Exception (Non-preferred Drugs) should use Form FA-63.
Q: How do I fill out Form FA-63?
A: You need to provide information about the medication, your healthcare provider, and other relevant details. Follow the instructions on the form.
Q: What happens after I submit Form FA-63?
A: Your insurance plan will review your request and decide whether to approve or deny the PDL Exception.
Q: How long does it take to get a response?
A: The time may vary, but typically you can expect a response within a few business days.
Q: What should I do if my PDL Exception is denied?
A: If your PDL Exception is denied, you have the option to appeal the decision. Contact your insurance plan for more information.
Download a fillable version of Form FA-63 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.