Methylphenidate Hydrochloride - Methylphenidate Hydrochloride tablet, Extended Release 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 Methylphenidate Hydrochloride - Methylphenidate Hydrochloride tablet, Extended Release Prior Authorizations

F90.0Attention-deficit hyperactivity disorder, predominantly inattentive type
F90.1Attention-deficit hyperactivity disorder, predominantly hyperactive type
F90.2Attention-deficit hyperactivity disorder, combined type
F90.8Attention-deficit hyperactivity disorder, other type
F90.9Attention-deficit hyperactivity disorder, unspecified type
G47.411Narcolepsy with cataplexy
G47.419Narcolepsy without cataplexy

Support for Getting Your Patient on Methylphenidate Hydrochloride - Methylphenidate Hydrochloride tablet, Extended Release

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.