Invokamet 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
Colorado - Uniform Prior Authorization FormColorado

ICD-10 codes for Invokamet Prior Authorizations

E11.9Type 2 diabetes mellitus without complications
E11.21Type 2 diabetes mellitus with diabetic nephropathy
E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Letter of Medical Necessity Letter of Medical Necessity resource
Appeals Considerations ChecklistAppeals Considerations Checklist resource
Appeals Considerations Checklist - SpanishAppeals Considerations Checklist - Spanish resource
Formulary Exception Request Letter Formulary Exception Request Letter resource
Formulary Exception Request Letter - SpanishFormulary Exception Request Letter - Spanish resource
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Billing & Coding Guide Billing & Coding Guide resource
PA Checklist PA Checklist resource
PA Checklist - SpanishPA Checklist - Spanish resource

Support for Getting Your Patient on Invokamet