Instructions for Form F-13074 Pharmacy Special Handling Request - Wisconsin

Instructions for Form F-13074 Pharmacy Special Handling Request - Wisconsin

This document contains official instructions for Form F-13074 , Pharmacy Special Handling Request - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-13074 is available for download through this link.

FAQ

Q: What is Form F-13074?A: Form F-13074 is a Pharmacy Special Handling Request form used in Wisconsin.

Q: What is the purpose of Form F-13074?A: The purpose of Form F-13074 is to request special handling of prescriptions at the pharmacy in Wisconsin.

Q: Who needs to fill out Form F-13074?A: Pharmacists in Wisconsin need to fill out Form F-13074 when a patient requires special handling of their prescriptions.

Q: What information is required in Form F-13074?A: Form F-13074 requires information such as patient details, prescription information, and reasons for special handling.

Q: How can I submit Form F-13074?A: Form F-13074 can be submitted electronically or by mail to the Wisconsin Department of Health Services.

Q: Are there any fees associated with Form F-13074?A: No, there are no fees associated with Form F-13074.

Q: What are examples of special handling requests?A: Examples of special handling requests may include medication delivery, language interpretation, or privacy concerns.

ADVERTISEMENT

Instruction Details:

  • This 1-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Wisconsin Department of Health Services.

Download Instructions for Form F-13074 Pharmacy Special Handling Request - Wisconsin

4.5 of 5 (15 votes)
  • Instructions for Form F-13074 Pharmacy Special Handling Request - Wisconsin, Page 1
ADVERTISEMENT