Invokana 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 Invokana Prior Authorizations

E11.9Type 2 diabetes mellitus without complications
E11.65Type 2 diabetes mellitus with hyperglycemia
E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Letter of Medical NecessityLetter of Medical Necessity.
Prior Authorizations, Exceptions & AppealsPrior Authorizations, Exceptions & Appeals.
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Coverage Finder | INVOKANA® (canagliflozin) HCPCoverage Finder | INVOKANA® (canagliflozin) HCP.
DownloadDownload.
Insurance CoverageInsurance Coverage.
Letter of ExceptionLetter of Exception.
Formulary CoverageFormulary Coverage.
Insurance CoverageInsurance Coverage.
Click here to see coverage information for your patients in your area.Click here to see coverage information for your patients in your area.
Medicaid Coverage Information | INVOKANA® (canagliflozin)Guidance on Medicaid coverage and state-specific resources for INVOKANA prescriptions.
Medicare Coverage Information | INVOKANA® (canagliflozin)Medicare coverage guidance including Part B, Part D, and supplemental coverage for INVOKANA.
Know Your State - Medicaid Interactive ToolState-by-state Medicaid coverage information and formulary status for INVOKANA prescriptions.
Medicare Resource GuideComprehensive guide to Medicare Part B, Part D coverage, and appeals process for INVOKANA.
Medicare Resource Guide (Spanish)Guía completa sobre la cobertura de Medicare Parte B, Parte D y el proceso de apelaciones para INVOKANA.

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