Form 373 Dmard / Biological Injectables Prior Authorization Request Form - Alabama

Form 373 Dmard / Biological Injectables Prior Authorization Request Form - Alabama

What Is Form 373?

This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form 373 DMARD/Biological Injectables Prior Authorization Request Form?A: The Form 373 DMARD/Biological Injectables Prior Authorization Request Form is a document used in Alabama to request prior authorization for certain medications.

Q: What is DMARD?A: DMARD stands for Disease-Modifying Antirheumatic Drug. It is a type of medication used to treat rheumatoid arthritis and other autoimmune diseases.

Q: What are Biological Injectables?A: Biological injectables are medications made from living organisms or their components that are used to treat various medical conditions.

Q: What is Prior Authorization?A: Prior authorization is a process where the healthcare provider needs to get approval from the insurance company before prescribing certain medications.

Q: Why is Prior Authorization necessary?A: Prior authorization is necessary to ensure that the prescribed medication is medically necessary and cost-effective, and to prevent unnecessary or inappropriate use of medications.

Q: How can I obtain the Form 373 DMARD/Biological Injectables Prior Authorization Request Form?A: You can obtain the Form 373 DMARD/Biological Injectables Prior Authorization Request Form from your healthcare provider or insurance company.

Q: Who needs to fill out the Form 373 DMARD/Biological Injectables Prior Authorization Request Form?A: The Form 373 DMARD/Biological Injectables Prior Authorization Request Form needs to be filled out by the healthcare provider who is requesting prior authorization for the medication.

Q: What information is required on the Form 373 DMARD/Biological Injectables Prior Authorization Request Form?A: The Form 373 DMARD/Biological Injectables Prior Authorization Request Form requires information such as the patient's personal information, diagnosis, medical history, prescribed medication, and supporting documentation.

Q: What should I do if my prior authorization request is denied?A: If your prior authorization request is denied, you can appeal the decision with your insurance company or discuss alternative treatment options with your healthcare provider.

Q: Are there any fees associated with the Form 373 DMARD/Biological Injectables Prior Authorization Request Form?A: There are typically no fees associated with submitting the Form 373 DMARD/Biological Injectables Prior Authorization Request Form, but it's best to check with your insurance company for any specific requirements or fees.

ADVERTISEMENT

Form Details:

  • Released on October 1, 2022;
  • The latest edition provided by the Alabama Medicaid Agency;
  • 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 printable version of Form 373 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.

Download Form 373 Dmard / Biological Injectables Prior Authorization Request Form - Alabama

4.5 of 5 (15 votes)
  • Form 373 Dmard/Biological Injectables Prior Authorization Request Form - Alabama

    1

  • Form 373 Dmard/Biological Injectables Prior Authorization Request Form - Alabama, Page 2

    2

  • Form 373 Dmard/Biological Injectables Prior Authorization Request Form - Alabama, Page 3

    3

  • Form 373 Dmard / Biological Injectables Prior Authorization Request Form - Alabama, Page 1
  • Form 373 Dmard / Biological Injectables Prior Authorization Request Form - Alabama, Page 2
  • Form 373 Dmard / Biological Injectables Prior Authorization Request Form - Alabama, Page 3
Prev 1 2 3 Next
ADVERTISEMENT