Descovy for PrEP 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 - Washington Prior Authorization FormAmerigroup · Updated May 12, 2026
Amerigroup - Prior Authorization Request FormAmerigroup · Updated May 12, 2026
Amerigroup - Georgia Pharmacy Prior Authorization FormAmerigroup · Updated May 12, 2026
Amerigroup - Texas State Standard Pharmacy Authorization FormAmerigroup · Updated May 12, 2026
Amerigroup - TX STAR+PLUS MMP Retail Pharmacy Prior Authorization FormAmerigroup · Updated May 12, 2026
Anthem, Inc. - NV CAID Rx Prior Authorization FormAnthem, Inc. · Updated Apr 15, 2026

ICD-10 codes for Descovy for PrEP Prior Authorizations

B20Human immunodeficiency virus [HIV] disease
Z21Asymptomatic human immunodeficiency virus [HIV] infection status
Z29.81Encounter for HIV pre-exposure prophylaxis

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
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Prior Authorization Checklist Prior Authorization Checklist resource
Billing & Coding Guide Billing & Coding Guide resource

Support for Getting Your Patient on Descovy for PrEP