Topic

Aetna (CVS Health)

A collection of 644 issues

Getting Elfabrio (Pegunigalsidase Alfa) Covered by Aetna CVS Health in Virginia: Requirements, Appeals, and Timeline

Answer Box: Fast Track to Elfabrio Coverage Elfabrio (pegunigalsidase alfa-iwxj) requires prior authorization from Aetna CVS Health in Virginia. You need confirmed Fabry disease diagnosis (enzyme assay or genetic testing), age 18+, and complete clinical documentation. Submit through your provider via Aetna's electronic portal with diagnostic results, clinical
6 min read

How to Get Filsuvez (Birch Triterpenes Gel) Covered by Aetna CVS Health in Washington: Appeals, Alternatives & Prior Authorization

Answer Box: Getting Filsuvez Covered by Aetna CVS Health in Washington Filsuvez (birch triterpenes gel) typically requires prior authorization from Aetna CVS Health and is often denied initially as non-formulary. Your fastest path: 1) Try formulary alternatives first with documented outcomes, 2) Submit a comprehensive prior authorization request with EB
6 min read

How to Get Tegsedi (Inotersen) Covered by Aetna CVS Health in California: Decision Tree, Appeals, and Next Steps

Answer Box: Getting Tegsedi Coverage in California Aetna CVS Health requires prior authorization for Tegsedi (inotersen) with strict criteria: confirmed TTR gene mutation, hATTR polyneuropathy diagnosis, specialist prescriber, and REMS enrollment. In California, if denied, you have strong appeal rights through the DMHC's Independent Medical Review (IMR) system,
5 min read

How to Get iLink® Corneal Cross-Linking Covered by Aetna CVS Health in Pennsylvania: Prior Authorization Guide and Appeals Process

Quick Answer: Getting iLink® Covered by Aetna CVS Health in Pennsylvania Aetna CVS Health covers FDA-approved iLink® corneal cross-linking for progressive keratoconus in Pennsylvania when you meet specific criteria. Prior authorization is required with documented disease progression, minimum 400-micron corneal thickness, and use of an in-network provider. If denied, Pennsylvania&
5 min read

How to Get Xospata (gilteritinib) Covered by Aetna (CVS Health) in New Jersey: Prior Authorization, Appeals, and Success Strategies

Answer Box: Getting Xospata Covered in New Jersey Xospata (gilteritinib) requires prior authorization from Aetna (CVS Health) in New Jersey for FLT3-mutated relapsed/refractory AML. Submit through the Availity portal at least 2 weeks before treatment, including FLT3 mutation test results, prior therapy documentation, and medical necessity letter. If denied,
6 min read

How to Get Xywav (Ca/Mg/K/Na oxybates) Covered by Aetna (CVS Health) in Pennsylvania: Complete Guide to Prior Authorization, Appeals, and Cost Savings

Answer Box: Getting Xywav Covered by Aetna (CVS Health) in Pennsylvania Aetna requires prior authorization for Xywav with step therapy documentation (modafinil/armodafinil trials for adults, stimulants for all ages) and REMS enrollment. If denied, Pennsylvania's new external review program overturns 50% of appeals. First step today: Have
6 min read

How to Get Cystadane (Betaine Anhydrous) Covered by Aetna CVS Health in Michigan: Prior Authorization Guide with Appeal Scripts

Answer Box: Getting Cystadane Covered by Aetna CVS Health in Michigan Cystadane (betaine anhydrous) requires prior authorization from Aetna CVS Health in Michigan. Submit your PA request electronically through the Availity provider portal at least two weeks before the fill date. Include genetic/biochemical confirmation of homocystinuria, previous vitamin therapy
5 min read