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Alaska Medicaid Opioid Td, Ql, Extended Release and Second-Level Opioid Review Prior Authorization Form - Alaska
Alaska Medicaid Opioid Td, Ql, Extended Release and Second-Level Opioid Review Prior Authorization Form is a legal document that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska.
FAQ
Q: What is the Alaska Medicaid Opioid Td, Ql, Extended Release and Second-Level Opioid Review Prior Authorization Form?
A: The form is used for requesting prior authorization for opioids in Alaska Medicaid.
Q: What does 'Td' stand for in Alaska Medicaid Opioid Td, Ql, Extended Release?
A: 'Td' stands for 'therapy duplication' which refers to duplication of therapy by multiple prescribers.
Q: What does 'Ql' stand for in Alaska Medicaid Opioid Td, Ql, Extended Release?
A: 'Ql' stands for 'quantity limit' which refers to the maximum quantity allowed for a specific opioid medication.
Q: What is 'Extended Release' in Alaska Medicaid Opioid Td, Ql, Extended Release?
A: 'Extended Release' refers to the formulation of opioid medications that releases the drug over an extended period of time.
Q: What is 'Second-Level Opioid Review' in Alaska Medicaid Opioid Td, Ql, Extended Release?
A: 'Second-Level Opioid Review' is an additional review process required for certain individuals who receive long-term opioid therapy.
Form Details:
- Released on January 1, 2015;
- The latest edition currently provided by the Alaska Department of Health and Social Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
Download Alaska Medicaid Opioid Td, Ql, Extended Release and Second-Level Opioid Review Prior Authorization Form - Alaska
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