Form HCA13-0011 Nucala (Mepolizumab Sc Injection) Request Form - Washington

Form HCA13-0011 Nucala (Mepolizumab Sc Injection) Request Form - Washington

What Is Form HCA13-0011?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA13-0011?A: Form HCA13-0011 is a request form for Nucala (Mepolizumab Sc Injection) in Washington.

Q: What is Nucala?A: Nucala is a medication called Mepolizumab Sc Injection used to treat severe eosinophilic asthma.

Q: Who can use Nucala?A: Nucala is for adult patients with severe eosinophilic asthma.

Q: What is eosinophilic asthma?A: Eosinophilic asthma is a type of asthma characterized by high levels of eosinophils, a type of white blood cell, in the lungs and airways.

Q: How is Nucala administered?A: Nucala is administered as a subcutaneous (under the skin) injection.

Q: Do I need a prescription to get Nucala?A: Yes, you need a prescription from a healthcare provider to get Nucala.

Q: How can I obtain Form HCA13-0011?A: You can obtain Form HCA13-0011 from your healthcare provider or the Washington State Health Care Authority.

ADVERTISEMENT

Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Washington State Health Care Authority;
  • 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 HCA13-0011 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-0011 Nucala (Mepolizumab Sc Injection) Request Form - Washington

4.8 of 5 (14 votes)
  • Form HCA13-0011 Nucala (Mepolizumab Sc Injection) Request Form - Washington, Page 1
ADVERTISEMENT