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How to Get Upstaza (Eladocagene Exuparvovec) Covered by Humana in Washington: Prior Authorization Guide and Appeal Process

Answer Box: Getting Upstaza Covered by Humana in Washington Upstaza (eladocagene exuparvovec) requires prior authorization from Humana and must be administered at a certified neurosurgical center. For Washington residents, the fastest path involves: 1) Confirming AADC deficiency diagnosis with genetic testing and CSF biomarkers, 2) Submitting prior authorization through Humana&
6 min read

How to Get Therakos CELLEX Photopheresis Covered by Cigna in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Cigna Coverage for Therakos CELLEX in New York Cigna requires prior authorization for Therakos CELLEX photopheresis (CPT 36522) as a medical benefit for FDA-approved indications including cutaneous T-cell lymphoma (CTCL) and steroid-refractory graft-versus-host disease (GVHD). Coverage mandates documented progressive disease after failed standard therapies and specialist oversight.
7 min read

How to Get Keytruda (Pembrolizumab) Covered by Aetna (CVS Health) in Washington: Complete Guide with Forms and Appeal Scripts

Answer Box: Getting Keytruda Covered by Aetna in Washington Aetna (CVS Health) requires prior authorization for Keytruda (pembrolizumab) with biomarker documentation (PD-L1 CPS ≥1, MSI-H, or TMB-H ≥10). Submit via fax to 1-888-267-3277 with clinical notes, pathology, and prior therapy records. If denied, appeal within 180 days; Washington offers external
5 min read