Zoloft 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

Amerigroup - Antidepressants Prior Authorization of Benefits FormAmerigroup · Updated Apr 10, 2026

AmeriHealth Caritas Pennsylvania - Antidepressants Prior Authorization FormAmeriHealth Caritas Pennsylvania · Updated Apr 10, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 08, 2026

Arkansas Blue Cross Blue Shield - Medicare Advantage Prior Authorization RequestArkansas Blue Cross Blue Shield · Updated Apr 10, 2026

Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 08, 2026

Blue Shield of California - Non-Formulary Exception and Quantity Limit Exception FormBlue Shield of California · Updated Apr 10, 2026

ICD-10 codes for Zoloft Prior Authorizations

F32.9Major depressive disorder, single episode, unspecified

F42Obsessive-compulsive disorder

F41.0Panic disorder [episodic paroxysmal anxiety]

F43.10Post-traumatic stress disorder, unspecified

F40.10Social phobia, unspecified

N94.3Premenstrual tension syndrome