Abilify Prior Authorization Resources

Find the right PA form for your patient's payer, get the ICD-10 codes you need, and download appeal templates — all in one place.

Last verified: May 11, 2026

Amerigroup - Abilify Maintena Prior AuthorizationAmerigroup · Updated May 10, 2026
Amerigroup - Abilify MyCite Prior Authorization of Benefits FormAmerigroup · Updated May 10, 2026
AmeriHealth Caritas Community Health Choices Pennsylvania - Antipsychotics Prior Authorization FormAmeriHealth Caritas Community Health Choices Pennsylvania · Updated May 10, 2026
Anthem - Antipsychotic Medications Age and Step TherapyAnthem, Inc. · Updated May 10, 2026
Anthem - Atypical Antipsychotics Hot Tip (Nevada Medicaid)Anthem, Inc. · Updated May 10, 2026
Anthem - Atypical Antipsychotics Hot Tip (New York Medicaid)Anthem, Inc. · Updated May 10, 2026

ICD-10 codes for Abilify Prior Authorizations

F20.9Schizophrenia, unspecified
F31Bipolar disorder
F31.1Bipolar disorder, current episode manic without psychotic features
F32.9Major depressive disorder, single episode, unspecified
F84.0Autistic disorder
F95.2Tourette's disorder

Support for Getting Your Patient on Abilify