Imfinzi 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 - Imfinzi Prior Authorization Form Cigna Corporation

ICD-10 codes for Imfinzi Prior Authorizations

C34.9Malignant neoplasm of unspecified part of bronchus or lung
C34.10Malignant neoplasm of upper lobe, unspecified bronchus or lung
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lung
C24.9Malignant neoplasm of biliary tract, unspecified
C24.0Malignant neoplasm of extrahepatic bile duct
C22.0Liver cell carcinoma
C22.9Unspecified malignant neoplasm of liver
C54.1Malignant neoplasm of endometrium
C67.9Malignant neoplasm of bladder, unspecified
C67.0Malignant neoplasm of trigone of bladder
C16.9Malignant neoplasm of stomach, unspecified
C16.0Malignant neoplasm of cardia

Brand Resources

Reimbursement InformationReimbursement Information resource
Pharmacy ListPharmacy List resource
How to Order ImfinziHow to Order Imfinzi resource
Billing & Coding GuideBilling & Coding Guide resource
Access & Reimbursement GuideAccess & Reimbursement Guide resource

Support for Getting Your Patient on Imfinzi

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