Simponi ARIA 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
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated May 08, 2026
Cigna - General Medication Prior Authorization FormCigna Corporation · Updated May 08, 2026
Cigna - Simponi Aria Prior Authorization Form Cigna Corporation · Updated Apr 16, 2026

ICD-10 codes for Simponi ARIA Prior Authorizations

M06.9Rheumatoid arthritis, unspecified
L40.50Arthropathic psoriasis, unspecified
M45.9Ankylosing spondylitis of unspecified sites in spine
M08.90Juvenile arthritis, unspecified, unspecified site

Appeal Templates

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

Brand Resources

Billing & Coding GuideBilling & Coding Guide resource
Formulary Information: RA, PsA & ASFormulary Information: RA, PsA & AS resource
Letter of ExceptionLetter of Exception resource
PA ChecklistPA Checklist resource
PA Checklist - SpanishPA Checklist - Spanish resource

Support for Getting Your Patient on Simponi ARIA

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.