Prior authorization templates for insurance coverage

Make sure your doctor is aware that these resources have been developed specifically for medical professionals to use.

The templates are intended for medical necessity OR prior authorization.

See Prior Authorization Templates HERE

List Of Treatments:

  • Adalimumab Dose escalate
  • Adalimumab
  • Anakinra
  • Apremilast
  • Baricitinib
  • Bimekizumab
  • Brodalumab
  • Canakinumab
  • Certolizumab Pegol
  • Canakinumab
  • Certolizumab Pegol
  • Clascoterone cream
  • Dual Biologic Therapy
  • Ertapenem
  • GLP1
  • Golimumab for Hidradenitis
  • Guselkumab
  • Infliximab
  • Laser Hair Removal
  • Onabotulinum Toxin
  • Risankizumab
  • Secukinumab
  • Soriatane
  • Tofacitinib
  • Upadacitinib
  • Ustekinumab
  • Wound Dressing

If you have questions or concerns please contact the HS Foundation directly HERE


Special Note: Information compiled and added to platform on 09-17 2024 by Denise Fixsen.

Medical Disclaimer: This content is solely for information, education, and support. The purpose is not to serve as a replacement for professional medical advice, diagnosis, or treatments.

Source: HS Foundation