Mektovi ( Braftovi+Mektovi) 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: May 08, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 08, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 08, 2026
California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026
Canada Life - Drug Prior Authorization Form (Public Service Health Care Plan)Canada Life · Updated Apr 14, 2026
Canada Life - Drug Prior Authorization FormCanada Life · Updated Apr 14, 2026
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated May 08, 2026

ICD-10 codes for Mektovi ( Braftovi+Mektovi) Prior Authorizations

C43.9Malignant melanoma of skin, unspecified
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung

Appeal Templates

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

Brand Resources

Pharmacy List Pharmacy List resource
Reimbursement Information Reimbursement Information resource
PA Checklist PA Checklist resource

Support for Getting Your Patient on Mektovi ( Braftovi+Mektovi)

Check coverage & formulary statusVerify PA requirements for your patient's plan.Find savings programsCopay cards, patient assistance, and more.Check medication interactionsScreen prescriptions for harmful drug combinations.