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Form FA-160 Elidel (Pimecrolimus) Prior Authorization Request Form - Nevada
What Is Form FA-160?
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-160?A: Form FA-160 is the Elidel (Pimecrolimus) Prior Authorization Request Form in Nevada.
Q: What is Elidel (Pimecrolimus)?A: Elidel (Pimecrolimus) is a medication used to treat eczema.
Q: What is a prior authorization request form?A: A prior authorization request form is a document that needs to be filled out by a healthcare provider to determine if a medication will be covered by insurance.
Q: Why is a prior authorization request necessary?A: A prior authorization request is necessary to ensure that medications are being used appropriately and to help control healthcare costs.
Form Details:
- Released on July 1, 2019;
- 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 printable version of Form FA-160 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
