Captopril - Captopril tablet 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 Captopril - Captopril tablet Prior Authorizations

I10Essential (primary) hypertension
I50.0Congestive heart failure, unspecified
I50.9Heart failure, unspecified
I51.89Other ill-defined heart diseases
I50.1Left ventricular failure, unspecified
E10.21Type 1 diabetes mellitus with diabetic nephropathy
E11.21Type 2 diabetes mellitus with diabetic nephropathy
E13.21Other specified diabetes mellitus with diabetic nephropathy

Support for Getting Your Patient on Captopril - Captopril tablet

Check coverage & formulary statusVerify PA requirements for your patient's plan.Find savings programsCopay cards, patient assistance, and more.Check medication interactionsScreen prescriptions for harmful drug combinations.