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Form FA-85 Forteo (Teriparatide) Prior Authorization Request Form - Nevada
What Is Form FA-85?
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-85 Forteo (Teriparatide) Prior Authorization Request Form?A: Form FA-85 Forteo (Teriparatide) Prior Authorization Request Form is a document used in Nevada to request prior authorization for the medication Forteo (Teriparatide).
Q: What is Forteo (Teriparatide)?A: Forteo (Teriparatide) is a medication used to treat osteoporosis in postmenopausal women and in men at high risk of bone fractures.
Q: Who needs to complete Form FA-85 Forteo (Teriparatide) Prior Authorization Request Form?A: The prescribing healthcare provider needs to complete Form FA-85 Forteo (Teriparatide) Prior Authorization Request Form.
Q: What information is required on the form?A: The form requires information such as patient details, medical history, reason for prescription, and supporting documentation.
Form Details:
- Released on April 5, 2021;
- 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-85 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
