Topic

Aetna (CVS Health)

A collection of 141 issues

How to Get Lutathera (Lutetium Lu-177 Dotatate) Covered by Aetna CVS Health in North Carolina: Forms, Appeals, and Cost-Saving Strategies

Answer Box: Getting Lutathera Covered by Aetna CVS Health in North Carolina Aetna requires prior authorization for Lutathera (lutetium Lu-177 dotatate) with strict criteria for somatostatin receptor-positive GEP-NETs. Your fastest path: Have your oncologist submit complete documentation (diagnosis, SSTR+ imaging, prior therapy failures) via Aetna's provider portal. Standard
6 min read

Renewing Joenja (Leniolisib) Coverage with Aetna CVS Health in Texas: 2025 Requirements and Timeline

Answer Box: Renewing Joenja (Leniolisib) with Aetna CVS Health in Texas Aetna CVS Health requires annual prior authorization renewal for Joenja (leniolisib) in Texas, typically 30 days before your current approval expires. You'll need updated clinical documentation showing continued APDS diagnosis, treatment response (reduced lymphadenopathy, improved immunoglobulin levels)
5 min read

Renewing Fintepla (Fenfluramine) Coverage with Aetna CVS Health in Michigan: Documentation Guide and Timeline

Answer Box: Fintepla (fenfluramine) renewal with Aetna CVS Health in Michigan requires documented seizure frequency reduction, current echocardiogram results, and REMS compliance. Start renewal process 60 days before current authorization expires. Submit seizure logs, cardiac monitoring results, and prescriber attestation through Aetna's provider portal or CVS Caremark. Most
6 min read

How to Get Adynovate (Antihemophilic Factor VIII) Covered by Aetna CVS Health in Michigan: Prior Authorization Forms, Appeals, and Documentation Requirements

Answer Box: Getting Adynovate Covered by Aetna CVS Health in Michigan To get Adynovate (bdanocog alfa pegol) covered by Aetna CVS Health in Michigan: 1. Submit prior authorization via CVS Caremark specialty fax at 1-888-267-3277 or call 1-855-240-0535 2. Document medical necessity including hemophilia A severity (ICD-10: D66) and why
6 min read