Counterforce Health Team

Counterforce Health Team

How to Get Chenodal (Chenodiol) Covered by Humana in Florida: Complete Prior Authorization Guide with Appeals Process

Answer Box: Getting Chenodal Covered by Humana in Florida Humana requires prior authorization for Chenodal (chenodiol) in Florida for FDA-approved uses like radiolucent gallstones or cerebrotendinous xanthomatosis (CTX). Submit the Request for Medicare Prescription Drug Coverage Determination form with imaging confirming radiolucent stones, documented ursodiol failure (≥6 months), and surgical
6 min read

Resources to Get Upstaza (Kebilidi) Approved with UnitedHealthcare in Texas: Forms, Portals & Contacts

Answer Box: Getting Upstaza Covered by UnitedHealthcare in Texas Upstaza (eladocagene exuparvovec), now marketed as Kebilidi™ in the US, requires prior authorization from UnitedHealthcare OptumRx for AADC deficiency. Submit requests via the UnitedHealthcare Provider Portal with genetic testing, clinical documentation, and medical necessity letter. If denied, Texas law provides strong
6 min read

How to Get Xembify (Immune Globulin, SC) Covered by Blue Cross Blue Shield in Texas: Prior Authorization, Appeals, and State Protections

Answer Box: Getting Xembify Covered by BCBS Texas Blue Cross Blue Shield of Texas requires prior authorization for Xembify (immune globulin, SC) with medical necessity criteria including confirmed primary immunodeficiency diagnosis, low IgG levels, and infection history. Your fastest path to approval: (1) Verify if Xembify falls under medical or
7 min read