Cabometyx 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.

Last verified: May 11, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 11, 2026
Blue Cross Blue Shield of Michigan - Prior Authorization and Step Therapy Coverage CriteriaBlue Cross Blue Shield of Michigan · Updated May 10, 2026
Blue Cross Blue Shield of North Carolina - Prior Authorization Request FormBlue Cross Blue Shield of North Carolina · Updated May 10, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
California - Uniform Prior Authorization FormCalifornia · Updated May 16, 2026
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated May 11, 2026

ICD-10 codes for Cabometyx Prior Authorizations

C64.9Malignant neoplasm of unspecified part of kidney
C22.0Liver cell carcinoma
C25.4Malignant neoplasm of endocrine pancreas
C7A.00Neuroendocrine tumor of unspecified site

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