Cyramza - Ramucirumab solution 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

Amerigroup - NJ Medicaid Pharmacy Prior Authorization FormAmerigroup · Updated May 10, 2026
Amerigroup - IA Medicaid Outpatient Prior Authorization FormAmerigroup · Updated May 10, 2026
Amerigroup - DC Medicaid Medical Injectable Prior Authorization FormAmerigroup · 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 of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
California - Uniform Prior Authorization FormCalifornia · Updated May 16, 2026

ICD-10 codes for Cyramza - Ramucirumab solution Prior Authorizations

C16.0Malignant neoplasm of cardia
C16.2Malignant neoplasm of body of stomach
C16.8Malignant neoplasm of overlapping sites of stomach
C16.9Malignant neoplasm of stomach, unspecified
C34.10Malignant neoplasm of upper lobe, unspecified bronchus or lung
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung
C18.9Malignant neoplasm of colon, unspecified
C20Malignant neoplasm of rectum
C22.0Liver cell carcinoma
C22.9Malignant neoplasm of liver, not specified as primary or secondary

Support for Getting Your Patient on Cyramza - Ramucirumab solution

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.