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Prior Authorization Forms
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Augtyro Prior Authorization Resources
Get the latest prior authorization forms for Medicare, Medicaid, and commercial plans, as well as state and medication-specific forms.
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How To Order Augtyro
How To Order Augtyro resource
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Billing & Coding Guide resource
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Reimbursement Information resource
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Prior Authorization Forms
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California
Last verified: Jan 08, 2026
California - Uniform Prior Authorization Form
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Colorado
Last verified: Jan 08, 2026
Colorado - Uniform Prior Authorization Form
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Illinois
Last verified: Jan 08, 2026
Illinois - Uniform Prior Authorization Form
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Indiana
Last verified: Jan 08, 2026
Indiana - Uniform Prior Authorization Form
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Louisiana
Last verified: Jan 08, 2026
Louisiana - Uniform Prior Authorization Form
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Minnesota
Last verified: Jan 08, 2026
Minnesota - Uniform Prior Authorization Form
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Oregon
Last verified: Jan 08, 2026
Oregon - Uniform Prior Authorization Form
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Texas
Last verified: Jan 08, 2026
Texas - Uniform Prior Authorization Form
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Washington
Last verified: Jan 08, 2026
Washington - Uniform Prior Authorization Form
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Wisconsin
Last verified: Jan 08, 2026
Wisconsin - Uniform Prior Authorization Form
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See approval requirements for your carrier
Find out what types of documentation and step therapies this carrier may require for coverage.
Check coverage