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.

Last verified: May 11, 2026

AmeriHealth Caritas DC - Atypical Antipsychotics Prior Authorization FormAmeriHealth Caritas DC · Updated May 10, 2026
AmeriHealth Caritas Pennsylvania - Injectable Antipsychotics Prior AuthorizationAmeriHealth Caritas Pennsylvania · Updated May 10, 2026
Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 11, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
Blue Shield of California - Prior Authorization Request FormBlue Shield of California · Updated May 10, 2026
California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026

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.