Advair Diskus 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 - DC CAID Hot Tip AsthmaAmerigroup
Anthem - TXWP Clinical StandardsAnthem, Inc.
Anthem - NY ABC CAID Hot Tip AsthmaAnthem, Inc.
Anthem - Pharmacy Prior Authorization FormAnthem, Inc.
Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield
Blue Cross Blue Shield of Illinois - Illinois Uniform Prior Authorization FormBlue Cross Blue Shield of Illinois

ICD-10 codes for Advair Diskus Prior Authorizations

J45.9Other and unspecified asthma
J45.901Unspecified asthma with (acute) exacerbation
J44.9Chronic obstructive pulmonary disease, unspecified
J44.1Chronic obstructive pulmonary disease with (acute) exacerbation
J43.9Emphysema, unspecified
J41.0Simple chronic bronchitis

Support for Getting Your Patient on Advair Diskus