Form FA-87 Prolia (Denosumab) Prior Authorization Request Form - Nevada

Form FA-87 Prolia (Denosumab) Prior Authorization Request Form - Nevada

What Is Form FA-87?

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-87?
A: Form FA-87 is the Prolia (Denosumab) Prior Authorization Request Form used in Nevada.

Q: What is Prolia (Denosumab)?
A: Prolia (Denosumab) is a medication used to treat osteoporosis.

Q: What is a Prior Authorization Request?
A: A Prior Authorization Request is a process where the healthcare provider seeks approval from the insurance company before prescribing a specific medication.

Q: Why is a Prior Authorization Request required?
A: Insurance companies require Prior Authorization Requests to ensure that the prescribed medication is medically necessary and meets certain criteria for coverage.

Q: Who should use Form FA-87?
A: Healthcare providers in Nevada who want to prescribe Prolia (Denosumab) should use Form FA-87 to request Prior Authorization.

Q: What information is required on Form FA-87?
A: Form FA-87 requires information about the patient, healthcare provider, and the medical necessity of prescribing Prolia (Denosumab).

Q: How long does it take to get a decision on Prior Authorization?
A: The time it takes to get a decision on Prior Authorization varies, but typically it can take up to a few business days.

Q: What happens if Prior Authorization is not approved?
A: If Prior Authorization is not approved, the insurance company may require the patient to try a different medication or provide additional information.

Q: Can Form FA-87 be used for other medications?
A: No, Form FA-87 is specifically for Prolia (Denosumab) Prior Authorization requests.

ADVERTISEMENT

Form Details:

  • Released on April 6, 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;

Download a printable version of Form FA-87 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.

Download Form FA-87 Prolia (Denosumab) Prior Authorization Request Form - Nevada

4.7 of 5 (15 votes)
  • Form FA-87 Prolia (Denosumab) Prior Authorization Request Form - Nevada, Page 1
ADVERTISEMENT

Related Documents