Enbrel 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.

Amerigroup - Prior Authorization of Benefits FormAmerigroup
AmeriHealth Caritas Pennsylvania - Prior Authorization Request FormAmeriHealth Caritas Pennsylvania
Anthem Blue Cross Blue Shield Medicaid - Medicaid Managed Care Precertification RequestAnthem Blue Cross Blue Shield Medicaid
Anthem - Prior Authorization Form for Medical InjectablesAnthem, Inc.
Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield
Arkansas Blue Cross Blue Shield - Authorization and Organizational Determination RequestArkansas Blue Cross Blue Shield

ICD-10 codes for Enbrel Prior Authorizations

M06.9Rheumatoid arthritis, unspecified
L40.50Arthropathic psoriasis, unspecified
M45.9Ankylosing spondylitis of unspecified sites in spine
L40.0Psoriasis vulgaris
M08.3Juvenile rheumatoid polyarthritis (seronegative)
L40.54Psoriatic juvenile arthropathy

Brand Resources

Formulary InformationFormulary Information resource
Reimbursement InformationReimbursement Information resource
Amgen Support Plus HCP Request Form Amgen Support Plus HCP Request Form resource

Support for Getting Your Patient on Enbrel

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.