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2013 W.S.P.P.A APPLICATION FORM TO BE COMPLETED BY SECRETARY/ TREASURE Date Paid. Received by NAME: (LAST) AGENCY: REGULAR (FIRST) (MI) RANK: RESERVE RETIRED OUT OF STATE MILITARY POLICE CIVILIAN
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WSPPA stands for Wisconsin Standardized Prescription Drug Prior Authorization.
Healthcare providers in Wisconsin are required to file WSPPA when requesting prior authorization for prescription drugs.
WSPPA can be filled out electronically or on paper. Healthcare providers need to provide patient information, drug information, and reason for the prior authorization request.
The purpose of WSPPA is to streamline the prior authorization process for prescription drugs and ensure that patients receive timely access to necessary medications.
On WSPPA, healthcare providers need to report patient information, drug information, diagnosis codes, and reason for the prior authorization request.
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