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-78?
A: Form FA-78 is a Prior Authorization Request form.
Q: What is the purpose of Form FA-78?
A: The purpose of Form FA-78 is to request prior authorization for the medication Kineret (Anakinra) in Nevada.
Q: What is Kineret?
A: Kineret is a medication with the active ingredient Anakinra.
Q: What is prior authorization?
A: Prior authorization is a process by which the insurance company approves coverage for a specific medication or medical procedure.
Q: Why do I need to submit a prior authorization request?
A: You need to submit a prior authorization request to obtain coverage for Kineret in Nevada.
Download a fillable version of Form FA-78 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.