Sertraline Hydrochloride - Sertraline Hydrochloride tablet, Film Coated 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 Sertraline Hydrochloride - Sertraline Hydrochloride tablet, Film Coated Prior Authorizations

F32.9Major depressive disorder, single episode, unspecified
F33.9Major depressive disorder, recurrent, unspecified
F42.9Obsessive-compulsive disorder, unspecified
F41.0Panic disorder [episodic paroxysmal anxiety]
F43.10Post-traumatic stress disorder, unspecified
F40.10Social phobia, unspecified
N94.3Premenstrual tension syndrome

Support for Getting Your Patient on Sertraline Hydrochloride - Sertraline Hydrochloride tablet, Film Coated

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.