Tacrolimus - Tacrolimus capsule 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 Tacrolimus - Tacrolimus capsule Prior Authorizations

T86.11Kidney transplant rejection
T86.10Unspecified complication of kidney transplant
T86.41Liver transplant rejection
T86.40Unspecified complication of liver transplant
T86.21Heart transplant rejection
T86.20Unspecified complication of heart transplant

Support for Getting Your Patient on Tacrolimus - Tacrolimus capsule