Lynparza 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: Apr 24, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated Apr 24, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated Apr 24, 2026
California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated Apr 24, 2026
Cigna - General Medication Prior Authorization FormCigna Corporation · Updated Apr 24, 2026
Colorado - Uniform Prior Authorization FormColorado · Updated Apr 16, 2026

ICD-10 codes for Lynparza Prior Authorizations

C56Malignant neoplasm of ovary
C56.9Malignant neoplasm of unspecified ovary
C57.0Malignant neoplasm of fallopian tube
C48.1Malignant neoplasm of specified parts of peritoneum
C50.9Malignant neoplasm of breast of unspecified site
C25Malignant neoplasm of pancreas
C61Malignant neoplasm of prostate

Brand Resources

Reimbursement InformationReimbursement Information resource
Pharmacy List Pharmacy List resource
How To Order LynparzaHow To Order Lynparza resource

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