Stelara 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
Cigna - Stelara IV Prior Authorization Form Cigna Corporation · Updated Apr 16, 2026

ICD-10 codes for Stelara Prior Authorizations

L40.9Psoriasis, unspecified
L40.50Arthropathic psoriasis, unspecified
K50.9Crohn's disease, unspecified
K51.9Ulcerative colitis, unspecified

Appeal Templates

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

Brand Resources

Medication Guide Medication Guide resource
How To Order Stelara IVHow To Order Stelara IV resource
Formulary Coverage: Ulcerative Colitis Formulary Coverage: Ulcerative Colitis resource
Formulary Coverage: Crohn's DiseaseFormulary Coverage: Crohn's Disease resource
Formulary: Psoriatic Arthritis Formulary: Psoriatic Arthritis resource
Billing & Coding Guide Billing & Coding Guide resource
Letter of Exception: Crohn's Disease Letter of Exception: Crohn's Disease resource
Letter of Exception: Ulcerative ColitisLetter of Exception: Ulcerative Colitis resource
Letter of Exception: Plaque PsoriasisLetter of Exception: Plaque Psoriasis resource
Letter of Exception: Psoriatic Arthritis Letter of Exception: Psoriatic Arthritis resource
Prior Authorization Checklist Prior Authorization Checklist resource

Support for Getting Your Patient on Stelara

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.