Afrezza - (Insulin Human) Inhalation Powder 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 Medicaid Pharmacy Prior Authorization FormAmerigroup
Anthem Indiana Medicaid - Indiana Medicaid Pharmacy Prior Authorization FormAnthem Indiana Medicaid
Anthem, Inc. - California MMP Pharmacy Prior Authorization Retail FormAnthem, Inc.
Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield
Arkansas Blue Cross Blue Shield - Arkansas Pharmacy Formulary Exception Prior Approval Request FormArkansas Blue Cross Blue Shield
BCBS New Mexico - Prior Authorization Basic Enhanced Drug ListBCBS New Mexico

ICD-10 codes for Afrezza - (Insulin Human) Inhalation Powder Prior Authorizations

E11.9Type 2 diabetes mellitus without complications
E10.9Type 1 diabetes mellitus without complications

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Getting Access to Afrezza: PA, Appeals & AssistancePatient flashcard on getting Afrezza covered: what to do if a prior authorization is required or denied, appeal rights, and AfrezzaAssist savings options (US-AFR-2653).
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Afrezza Access & Coverage Support for PrescribersGuidance for prescribers on enrolling patients, navigating prior authorization via CoverMyMeds, and connecting patients to AfrezzaAssist affordability programs.

Support for Getting Your Patient on Afrezza - (Insulin Human) Inhalation Powder

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.