Abilify Maintena 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.

AmeriHealth Caritas DC - Atypical Antipsychotics Prior Authorization FormAmeriHealth Caritas DC
AmeriHealth Caritas Pennsylvania - Injectable Antipsychotics Prior AuthorizationAmeriHealth Caritas Pennsylvania
Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc.
Blue Shield of California - Prior Authorization Request FormBlue Shield of California
California - Uniform Prior Authorization FormCalifornia

ICD-10 codes for Abilify Maintena Prior Authorizations

F20.9Schizophrenia, unspecified
F31.9Bipolar disorder, unspecified

Brand Resources

Abilify Maintenance Support and Coverage InformationInformation on prior authorization and coverage support for Abilify Maintenance.

Support for Getting Your Patient on Abilify Maintena

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.