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Iowa Department of Human Services FAX Completed Form To 1 (800) 5742515Request for Prior Authorization NOVEL ORAL ANTICOAGULANTSProvider Help Desk 1 (877) 7761567(PLEASE PRINT ACCURACY IS IMPORTANT)

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What is noac pa form npi?

NOAC PA form NPI is a form used for reporting non-opioid analgesic claims information by healthcare providers.

Who is required to file noac pa form npi?

Healthcare providers who prescribe or dispense non-opioid analgesics are required to file the NOAC PA form NPI.

How to fill out noac pa form npi?

The NOAC PA form NPI can be filled out electronically or manually, providing information such as patient demographics, prescriber details, and medication information.

What is the purpose of noac pa form npi?

The purpose of the NOAC PA form NPI is to track and monitor non-opioid analgesic claims to help combat the opioid epidemic and promote safe prescribing practices.

What information must be reported on noac pa form npi?

Information such as patient name, date of birth, prescriber NPI number, drug name, dosage, and quantity must be reported on the NOAC PA form NPI.

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