Amjevita 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: Apr 24, 2026

Amerigroup - PHARM ALL AmjevitaAmerigroup · Updated May 10, 2026
Amerigroup - PHARM ALL Amjevita UpdateAmerigroup · Updated May 10, 2026
Anthem, Inc. - PHARM ALL AmjevitaAnthem, Inc. · Updated May 10, 2026
Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated Apr 24, 2026
Blue Cross Blue Shield of Alabama - Commercial Prior Authorization Drug List Q4 2025Blue Cross Blue Shield of Alabama · Updated May 10, 2026
Blue Cross Blue Shield of Illinois - Rx PA Programs Metallic ILBlue Cross Blue Shield of Illinois · Updated May 10, 2026

ICD-10 codes for Amjevita Prior Authorizations

M06.9Rheumatoid arthritis, unspecified
M05.9Rheumatoid arthritis with rheumatoid factor, unspecified
M08.9Juvenile arthritis, unspecified
L40.50Arthropathic psoriasis, unspecified
M45.9Ankylosing spondylitis of unspecified sites in spine
K50.9Crohn's disease, unspecified
K50.00Crohn's disease of small intestine without complications
K51.9Ulcerative colitis, unspecified
K51.00Ulcerative (chronic) pancolitis without complications
L40.0Psoriasis vulgaris
L73.2Hidradenitis suppurativa
H20.0Acute and subacute iridocyclitis
H20.1Chronic iridocyclitis
H20.2Lens-induced iridocyclitis
H20.9Unspecified iridocyclitis

Brand Resources

Amgen Support Plus HCP Request Form Amgen Support Plus HCP Request Form resource
Reimbursement InformationReimbursement Information resource
Amjevita Access Guide Amjevita Access Guide resource

Support for Getting Your Patient on Amjevita

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.