Lovastatin - Lovastatin tablet 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.

California - Uniform Prior Authorization FormCalifornia
Colorado - Uniform Prior Authorization FormColorado
Illinois - Uniform Prior Authorization FormIllinois
Indiana - Uniform Prior Authorization FormIndiana
Louisiana - Uniform Prior Authorization FormLouisiana
Minnesota - Uniform Prior Authorization FormMinnesota

ICD-10 codes for Lovastatin - Lovastatin tablet Prior Authorizations

I21.9Acute myocardial infarction, unspecified
I21.4Acute subendocardial myocardial infarction
I20.0Unstable angina
I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.119Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
E78.00Pure hypercholesterolemia, unspecified
E78.01Familial hypercholesterolemia

Support for Getting Your Patient on Lovastatin - Lovastatin tablet