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.

Amerigroup - Abilify Maintena Prior AuthorizationAmerigroup

Amerigroup - Abilify MyCite Prior Authorization of Benefits FormAmerigroup

AmeriHealth Caritas Community Health Choices Pennsylvania - Antipsychotics Prior Authorization FormAmeriHealth Caritas Community Health Choices Pennsylvania

Anthem - Antipsychotic Medications Age and Step TherapyAnthem, Inc.

Anthem - Atypical Antipsychotics Hot Tip (Nevada Medicaid)Anthem, Inc.

Anthem - Atypical Antipsychotics Hot Tip (New York Medicaid)Anthem, Inc.

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

Check coverage & formulary statusVerify PA requirements for your patient's plan.Find savings programsCopay cards, patient assistance, and more.Check medication interactionsScreen prescriptions for harmful drug combinations.