Caduet 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.

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

ICD-10 codes for Caduet Prior Authorizations

I10Essential (primary) hypertension
I20.89Other forms of angina pectoris
I20.1Angina pectoris with documented spasm
I25.1Atherosclerotic heart disease of native coronary artery
I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
E11.9Type 2 diabetes mellitus without complications
E78.00Pure hypercholesterolemia, unspecified
E78.5Hyperlipidemia, unspecified
E78.011Heterozygous familial hypercholesterolemia [HeFH]
E78.010Homozygous familial hypercholesterolemia [HoFH]
E78.2Mixed hyperlipidemia
E78.1Pure hyperglyceridemia

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