Humira 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 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
Cigna - General Medication Prior Authorization FormCigna Corporation · Updated May 11, 2026
Colorado - Uniform Prior Authorization FormColorado · Updated May 16, 2026

ICD-10 codes for Humira Prior Authorizations

M06.9Rheumatoid arthritis, unspecified
M08.9Juvenile arthritis, unspecified
L40.50Arthropathic psoriasis, unspecified
M45.9Ankylosing spondylitis of unspecified sites in spine
K50.9Crohn's disease, unspecified
K51.9Ulcerative colitis, unspecified
L40.0Psoriasis vulgaris
L73.2Hidradenitis suppurativa
H20.9Unspecified iridocyclitis
H30.9Unspecified chorioretinal inflammation

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Appeal Letter Submission GuideGuidelines for submitting appeal letters regarding prior authorization.
Formulary Exception Request GuideGuide for submitting formulary exception requests for Humira.
Tiering Exception Request GuideGuide for requesting tiering exceptions in drug coverage.
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Medical Necessity Letter Submission GuideInstructions for submitting medical necessity letters for Humira coverage.
Understanding Insurance Coverage Changes for HumiraInformation on navigating insurance coverage for Humira.

Support for Getting Your Patient on Humira

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.