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Form FA-79 Prior Authorization Request - Orencia (Abatacept) - Nevada
What Is Form FA-79?
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.
FAQ
Q: What is Form FA-79?A: Form FA-79 is a prior authorization request form.
Q: What is Orencia (Abatacept)?A: Orencia (Abatacept) is a medication used for the treatment of certain autoimmune diseases, such as rheumatoid arthritis.
Q: Why is prior authorization required for Orencia?A: Prior authorization is required for Orencia to ensure appropriate use and coverage of the medication.
Q: Who can use Form FA-79?A: Form FA-79 can be used by healthcare providers in Nevada who wish to request prior authorization for Orencia.
Form Details:
- Released on July 28, 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-79 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
