Instructions for Form F-11077 Prior Authorization / Preferred Drug List (Pa / Pdl) for Non-steroidal Anti-inflammatory Drugs (Nsaids) - Wisconsin

Form F-11077 Prior Authorization/Preferred Drug List (Pa/Pdl) for Non-steroidal Anti-inflammatory Drugs (Nsaids) - Wisconsin

This document contains official instructions for Form F-11077 , Prior Authorization/Preferred Drug List (Pa/Pdl) for Non-steroidal Anti-inflammatory Drugs (Nsaids) - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-11077 is available for download through this link.

FAQ

Q: What is Form F-11077?A: Form F-11077 is a prior authorization/preferred drug list (PA/PDL) for non-steroidal anti-inflammatory drugs (NSAIDs) in Wisconsin.

Q: What is the purpose of Form F-11077?A: The purpose of Form F-11077 is to obtain prior authorization or determine preferred drug status for NSAIDs in Wisconsin.

Q: What are non-steroidal anti-inflammatory drugs (NSAIDs)?A: NSAIDs are a type of medication used to relieve pain, reduce inflammation, and lower fever.

Q: Why do I need prior authorization for NSAIDs?A: Prior authorization is required for certain NSAIDs to ensure appropriate use and cost-effective prescribing.

Q: What is the Preferred Drug List (PDL)?A: The Preferred Drug List (PDL) is a list of medications that are preferred by the insurance provider for coverage.

Q: Who needs to complete Form F-11077?A: Healthcare providers need to complete Form F-11077 when requesting prior authorization or determining preferred drug status for NSAIDs.

Q: Is Form F-11077 specific to Wisconsin?A: Yes, Form F-11077 is specific to the state of Wisconsin.

Q: Can I submit Form F-11077 electronically?A: Yes, electronic submission of Form F-11077 is accepted.

Q: What happens after I submit Form F-11077?A: After submitting Form F-11077, the request will be reviewed to determine if prior authorization or preferred drug status is granted.