№ files_lp_3_process_7_054926
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This document is a form used by healthcare providers to request prior authorization for non-steroidal anti-inflammatory drugs (NSAIDs) under Wisconsin Medicaid services.
Year: 2018
Region / City: Wisconsin
Theme: Healthcare, Medicaid Services
Document Type: Form
Organization / Institution: Department of Health Services, State of Wisconsin
Author: Division of Medicaid Services
Target Audience: Healthcare Providers, Prescribers
Period of Action: 2018
Approval Date: January 2018
Date of Changes: None
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SmartPA Criteria Proposal Drug/Drug Class: NSAIDs PDL Edit
Year: 2026
Region / City: MO HealthNet
Theme: NSAIDs, Pharmacology, Health Policy
Document Type: Proposal
Institution: MO HealthNet, Conduent
Author: MO HealthNet and Conduent
Target Audience: Healthcare Providers, Policy Makers, MO HealthNet Participants
Period of Validity: Indefinite
Approval Date: January 20, 2026
Modification Date: None
Assessment of Renal Function in Commercial Drivers Consuming Alcohol and NSAIDs in Oluyole LGA, Ibadan, Oyo State, November 2022–June 2023
Year: 2022–2023
Region / City: Oluyole Local Government Area, Ibadan, Oyo State, Nigeria
Topic: Renal health, alcohol and NSAID use, occupational health
Document Type: Research article
Institution: Ministry of Health, Oyo State
Author: Not specified
Target Audience: Healthcare professionals, occupational health researchers
Study Design: Cross-sectional comparative study
Participants: 200 individuals (100 commercial drivers, 100 non-commercial drivers)
Key Variables: Serum creatinine, urea, potassium, blood pressure, alcohol use, NSAID use
Ethical Approval: Ministry of Health, Oyo State
Study Duration: November 2022 – June 2023
Prior Authorization / Preferred Drug List (PA/PDL) FOR JOURNAVX
Year: 2025
Region / City: Wisconsin
Topic: Healthcare, Pharmacy, Medicaid
Document Type: Form
Organization: Department of Health Services
Author: Not specified
Target Audience: Healthcare providers, Prescribers, Pharmacy providers
Period of Validity: Not specified
Approval Date: Not specified
Amendment Date: Not specified
FORWARDHEALTH PRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) EXEMPTION REQUEST
Year: 2023
Region / City: Wisconsin
Subject: Health Services, Medicaid
Document Type: Form
Organization / Institution: Department of Health Services, State of Wisconsin
Author: Department of Health Services
Target Audience: Prescribers, Pharmacy Providers
Period of Validity: N/A
Approval Date: N/A
Date of Modifications: N/A
Topics: NON-STEROIDAL NSAIDs PAPDL