Kuvan 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
Amerigroup - Prior Authorization of Benefits FormAmerigroup
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
Canada Life - Drug Prior Authorization FormCanada Life

ICD-10 codes for Kuvan Prior Authorizations

E70.0Classical phenylketonuria
E70.1Other hyperphenylalaninemias

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Coverage Authorization AppealsCoverage Authorization Appeals resource
Letter of Medical NecessityLetter of Medical Necessity resource
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Pharmacy ListPharmacy List resource
Prior Authorization ChecklistPrior Authorization Checklist resource
Biomarin Kuvan Enrollment FormBiomarin Kuvan Enrollment Form resource
Biomarin Kuvan Enrollment Form: OnlineBiomarin Kuvan Enrollment Form: Online resource

Support for Getting Your Patient on Kuvan