Accutane 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 - Iowa Medicaid Isotretinoin Oral Prior Authorization RequestAmerigroup
Anthem, Inc. - Acne Nonpreferred and Preferred Drug GuideAnthem, Inc.
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.
California - Uniform Prior Authorization FormCalifornia
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc.

ICD-10 codes for Accutane Prior Authorizations

L70.0Acne vulgaris

Brand Resources

iPledge REMS for Accutane Enrollment and ManagementGuidelines for enrolling and managing iPledge REMS for Accutane.

Support for Getting Your Patient on Accutane

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.