Orencia 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
Cigna - Orencia IV Prior Authorization Form Cigna Corporation · Updated May 16, 2026

ICD-10 codes for Orencia Prior Authorizations

M06.9Rheumatoid arthritis, unspecified
M08.3Juvenile rheumatoid polyarthritis (seronegative)
L40.50Arthropathic psoriasis, unspecified
D89.810Acute graft-versus-host disease

Brand Resources

Billing and Coding Guide Billing and Coding Guide resource

Support for Getting Your Patient on Orencia

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