Epinephrine - Epinephrine injection 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 Epinephrine - Epinephrine injection Prior Authorizations

R65.21Severe sepsis with septic shock
T78.2XXAAnaphylactic shock, unspecified, initial encounter
T78.00XAAnaphylactic reaction due to unspecified food, initial encounter
T78.09XAOther anaphylactic reaction, initial encounter

Support for Getting Your Patient on Epinephrine - Epinephrine injection

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.