Lenvima 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 Lenvima Prior Authorizations

C73Malignant neoplasm of thyroid gland
C64.9Malignant neoplasm of unspecified kidney, except renal pelvis
C64.1Malignant neoplasm of right kidney, except renal pelvis
C64.2Malignant neoplasm of left kidney, except renal pelvis
C22.0Liver cell carcinoma
C54.1Malignant neoplasm of endometrium

Brand Resources

Pharmacy ListPharmacy List resource

Support for Getting Your Patient on Lenvima

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