Afinitor 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

Amerigroup - Afinitor Everolimus PHARM ALLAmerigroup · Updated May 09, 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 Arizona - Everolimus Afinitor Torpenz OverrideBlue Cross Blue Shield of Arizona, Inc. · Updated May 09, 2026
Blue Cross Blue Shield of Arizona - Pharmacy Coverage Guideline Afinitor EverolimusBlue Cross Blue Shield of Arizona, Inc. · Updated May 09, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
Blue Shield of California - Provider FEP Afinitor Prior Approval RequestBlue Shield of California · Updated May 09, 2026

ICD-10 codes for Afinitor Prior Authorizations

C50.9Malignant neoplasm of breast of unspecified site
C7A.1Malignant poorly differentiated neuroendocrine tumors
C7A.8Other malignant neuroendocrine tumors
C64.9Malignant neoplasm of unspecified kidney, except renal pelvis
D33.0Benign neoplasm of brain, supratentorial
G40.1Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures

Support for Getting Your Patient on Afinitor

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