Instructions for Form F-00281 Prior Authorization / Preferred Drug List (Pa / Pdl) for Fentanyl Mucosal Agents - Wisconsin

Form F-00281 Prior Authorization/Preferred Drug List (Pa/Pdl) for Fentanyl Mucosal Agents - Wisconsin

This document contains official instructions for Form F-00281 , Prior Authorization/Preferred Drug List (Pa/Pdl) for Fentanyl Mucosal Agents - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-00281 is available for download through this link.

FAQ

Q: What is Form F-00281?A: Form F-00281 is a Prior Authorization/Preferred Drug List (PA/PDL) for Fentanyl Mucosal Agents in Wisconsin.

Q: What is the purpose of Form F-00281?A: The purpose of Form F-00281 is to request prior authorization for fentanyl mucosal agents and to determine if they are included on the preferred drug list.

Q: Who needs to complete Form F-00281?A: Healthcare providers who wish to prescribe fentanyl mucosal agents in Wisconsin need to complete Form F-00281.

Q: What information is required on Form F-00281?A: Form F-00281 requires information about the patient, prescriber, drug being requested, medical necessity, and alternative treatments tried.

Q: Are there any fees associated with Form F-00281?A: There are no fees associated with submitting Form F-00281.

Q: How long does it take to process Form F-00281?A: Form F-00281 is typically processed within 10 business days.

Q: What happens after Form F-00281 is processed?A: After Form F-00281 is processed, the healthcare provider will be notified if the prior authorization is approved or denied.

Q: Can I appeal a denied prior authorization?A: Yes, if the prior authorization is denied, the healthcare provider can appeal the decision.

Q: Who can I contact for more information about Form F-00281?A: For more information about Form F-00281, you can contact the Wisconsin Department of Health Services.