Accrufer 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

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 11, 2026

Blue Cross Blue Shield of Michigan - Quantity Limit Program Drug ListBlue Cross Blue Shield of Michigan · Updated May 09, 2026

Blue Cross Blue Shield of Minnesota - MN Medicaid Accrufer Prior Authorization Quantity Limit Program SummaryBlue Cross Blue Shield of Minnesota · Updated May 09, 2026

Blue Cross Blue Shield of Minnesota - MN Commercial Accrufer Prior Authorization Quantity Limit Program SummaryBlue Cross Blue Shield of Minnesota · Updated May 09, 2026

Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026

California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026

ICD-10 codes for Accrufer Prior Authorizations

D50.0Iron deficiency anemia secondary to blood loss (chronic)

D50.8Other iron deficiency anemias

D50.9Iron deficiency anemia, unspecified

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