Benlysta 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 08, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 08, 2026
Blue Cross Blue Shield of Alabama - Benlysta Prior Authorization with Quantity Limit Program SummaryBlue Cross Blue Shield of Alabama · Updated May 10, 2026
Blue Cross Blue Shield of Massachusetts - Immune Modulating Drugs Prior Authorization PolicyBlue Cross Blue Shield of Massachusetts · Updated May 10, 2026
Blue Cross Blue Shield of Michigan - Medical Drug and Step Therapy Prior Authorization List for Medicare Plus Blue and BCN AdvantageBlue Cross Blue Shield of Michigan · Updated May 10, 2026
Blue Cross Blue Shield of Michigan - Benlysta Prior Authorization Form (Medical Benefit)Blue Cross Blue Shield of Michigan · Updated May 10, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 08, 2026

ICD-10 codes for Benlysta Prior Authorizations

M32.9Systemic lupus erythematosus, unspecified
M32.19Other organ or system involvement in systemic lupus erythematosus
M32.14Glomerular disease in systemic lupus erythematosus

Brand Resources

Coverage & Formulary Information For BenlystaFormulary information
Billing & Coding GuideResource for billing and coding
Pharmacy ListPharmacy List resource
How to Order BenlystaHow to Order Benlysta resource
Reimbursment InformationReimbursment Information resource

Support for Getting Your Patient on Benlysta

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.