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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F00081A (07/2020)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR OPIOID
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What is for opioid dependency agents?
Opioid dependency agents are medications or treatments used to help individuals who are dependent on opioids to manage their addiction and reduce withdrawal symptoms.
Who is required to file for opioid dependency agents?
Healthcare providers, including doctors and pharmacists, are required to file for opioid dependency agents, as well as facilities that provide addiction treatment services.
How to fill out for opioid dependency agents?
To fill out for opioid dependency agents, providers must complete specific forms detailing patient information, treatment plans, and medication prescribed, as outlined by state regulations.
What is the purpose of for opioid dependency agents?
The purpose of opioid dependency agents is to assist individuals in overcoming their addiction to opioids by managing withdrawal symptoms and cravings.
What information must be reported on for opioid dependency agents?
Providers must report patient demographics, treatment dosage, dates of treatment, and any adverse reactions or outcomes related to the use of opioid dependency agents.
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