Targadox 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 11, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 11, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
California - Uniform Prior Authorization FormCalifornia · Updated May 16, 2026
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated May 11, 2026
Cigna - General Medication Prior Authorization FormCigna Corporation · Updated May 11, 2026
Colorado - Uniform Prior Authorization FormColorado · Updated May 16, 2026

ICD-10 codes for Targadox Prior Authorizations

A77.9Spotted fever, unspecified
A75.9Typhus fever, unspecified
A78Q fever
A79.9Rickettsiosis, unspecified
J20.9Acute bronchitis, unspecified
J06.9Acute upper respiratory infection, unspecified
N39.0Urinary tract infection, site not specified
A55Chlamydial lymphogranuloma (venereum)
A70Chlamydia psittaci infections
A71.9Trachoma, unspecified
A74.0Chlamydial conjunctivitis
N34.1Nonspecific urethritis
N72Inflammatory disease of cervix uteri
K62.8Other specified diseases of anus and rectum
A68Relapsing fevers
A57Chancroid
A20Plague
A21Tularemia
A00Cholera
A04.5Campylobacter enteritis
A23Brucellosis
A44Bartonellosis
A58Granuloma inguinale
A22Anthrax
A54Gonococcal infection
A51Early syphilis
A66Yaws
A32Listeriosis
A69Other spirochetal infections
A42Actinomycosis
A48Other bacterial diseases, not elsewhere classified
A06Amebiasis
L70.0Acne vulgaris
B50Plasmodium falciparum malaria

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