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.

Last verified: May 08, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 08, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 08, 2026
California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated May 08, 2026
Cigna - General Medication Prior Authorization FormCigna Corporation · Updated May 08, 2026
Cigna - Growth Hormone Prior Authorization Form Cigna Corporation · Updated Apr 16, 2026

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

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