Humatrope 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.

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc.
California - Uniform Prior Authorization FormCalifornia
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc.
Cigna - General Medication Prior Authorization FormCigna Corporation
Cigna - Growth Hormone Prior Authorization Form Cigna Corporation

ICD-10 codes for Humatrope Prior Authorizations

E23.0Hypopituitarism
E34.3Short stature due to endocrine disorder
Q96Turner's syndrome
Q96.9Turner's syndrome, unspecified
R62.52Short stature (child)
R62.51Failure to thrive (child)
R62Lack of expected normal physiological development in childhood and adults

Support for Getting Your Patient on Humatrope

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