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Myths vs. Facts: Getting Dupixent (dupilumab) Covered by UnitedHealthcare in Washington - Appeals Guide and Prior Authorization Requirements

Quick Answer: Dupixent Coverage by UnitedHealthcare in Washington Myth: If your doctor prescribes Dupixent, UnitedHealthcare automatically covers it. Fact: UnitedHealthcare requires prior authorization for all Dupixent prescriptions, with specific step therapy and documentation requirements that vary by indication. In Washington, if denied, you can appeal through UnitedHealthcare's internal
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Somatuline Depot (lanreotide) Approval with UnitedHealthcare in Illinois: Complete Guide to Prior Authorization, Appeals, and Forms

Answer Box: Somatuline Depot (lanreotide) is covered by UnitedHealthcare in Illinois but requires prior authorization, specialist consultation (endocrinologist/oncologist), and documented trial/failure of octreotide in most cases. Submit through the UnitedHealthcare Provider Portal for fastest processing (3-5 business days). If denied, you have 180 days to appeal internally, then
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Cabometyx (Cabozantinib) Approval with UnitedHealthcare in Virginia: Your Complete Coverage Guide

Quick Answer: Getting Cabometyx Covered by UnitedHealthcare in Virginia Yes, Cabometyx (cabozantinib) tablets require prior authorization from UnitedHealthcare/OptumRx for all FDA-approved indications in Virginia. The fastest path: Have your oncologist submit a complete PA request through the UnitedHealthcare Provider Portal with diagnosis, staging, prior therapies, and medical necessity documentation.
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