Form 1317 Pharmacy Eligibility Verification Portal Access Form - Texas

Form 1317 Pharmacy Eligibility Verification Portal Access Form - Texas

What Is Form 1317?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1317?A: Form 1317 is the Pharmacy Eligibility Verification Portal Access Form.

Q: What is the purpose of Form 1317?A: The purpose of Form 1317 is to request access to the Pharmacy Eligibility Verification Portal.

Q: Who can use Form 1317?A: Pharmacies in Texas can use Form 1317 to request access.

Q: How do pharmacies request access to the Pharmacy Eligibility Verification Portal?A: Pharmacies can request access by submitting Form 1317.

Q: Is there a fee for accessing the Pharmacy Eligibility Verification Portal?A: No, there is no fee for accessing the Pharmacy Eligibility Verification Portal.

Q: What information is required on Form 1317?A: Form 1317 requires pharmacy details, contact information, and agreement to the terms and conditions.

Q: How long does it take to process Form 1317?A: The processing time for Form 1317 may vary, but it typically takes a few days.

Q: Who should pharmacies contact for assistance with Form 1317?A: Pharmacies can contact the Pharmacy Benefit Access Help Desk for assistance with Form 1317.

Q: Can pharmacies access the Pharmacy Eligibility Verification Portal without submitting Form 1317?A: No, pharmacies need to submit Form 1317 to request access to the Portal.

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Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Texas 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 1317 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1317 Pharmacy Eligibility Verification Portal Access Form - Texas

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