Braftovi 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

AmeriHealth Caritas DC - Pharmacy Prior Authorization CriteriaAmeriHealth Caritas DC · Updated May 10, 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 Illinois - 2025 Commercial Specialty Pharmacy PA Code ListBlue Cross Blue Shield of Illinois · Updated May 10, 2026
Blue Cross Blue Shield of Massachusetts - Oncology Drugs (Oral and Subcutaneous) Prior Authorization Policy 409Blue Cross Blue Shield of Massachusetts · Updated May 10, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026

ICD-10 codes for Braftovi Prior Authorizations

C43.9Malignant melanoma of skin, unspecified
C18.9Malignant neoplasm of colon, unspecified
C20Malignant neoplasm of rectum
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Coverage Authorization Appeals Coverage Authorization Appeals resource
Letter of Medical Necessity Letter of Medical Necessity resource
Formulary Exception Letter Formulary Exception Letter resource
Appeals Checklsit Appeals Checklsit resource
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Pharmacy List Pharmacy List resource
Reimbursement Information Reimbursement Information resource
PA Checklist PA Checklist resource

Support for Getting Your Patient on Braftovi

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.