Aimovig 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.

Anthem, Inc. - Antimigraine Agents Others Prior Authorization FormAnthem, Inc.
Anthem, Inc. - Aimovig Prior AuthorizationAnthem, Inc.
Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield
Keystone First - Migraine Prevention Agents Prior Authorization Form Blue Cross Blue Shield Association Corporation
Blue Cross Blue Shield - Federal Employee Program Aimovig Prior Authorization Form Blue Cross Blue Shield Association Corporation
Blue Cross Blue Shield of Alabama - CGRP Prior Authorization with Quantity Limit Program SummaryBlue Cross Blue Shield of Alabama

ICD-10 codes for Aimovig Prior Authorizations

G43.909Migraine, unspecified, not intractable, without status migrainosus

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Letter of Medical NecessityTemplate for medical necessity letters for Aimovig prior authorization.
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

AIMOVIG Prior Authorization ChecklistChecklist for healthcare providers on AIMOVIG prior authorization process.
Aimovig Prior Authorization ChecklistChecklist to assist healthcare providers with prior authorization for AIMOVIG.

Support for Getting Your Patient on Aimovig