Topic

Alprolix (coagulation factor IX, rFIXFc; eftrenonacog alfa)

A collection of 14 issues

Get Alprolix Covered by Cigna in Florida: Forms, Appeals & Approval Timeline

Answer Box: Getting Alprolix Covered by Cigna in Florida Cigna requires prior authorization for Alprolix (coagulation factor IX, rFIXFc; eftrenonacog alfa) in Florida. Your hematologist must submit the Clotting Factors Prior Authorization Form with diagnosis, bleeding history, and medical necessity documentation. Standard review takes 5 business days; expedited reviews complete

How to Get Alprolix Covered by Blue Cross Blue Shield in Washington: Timeline, Appeals, and Approval Strategies

Answer Box: Getting Alprolix Covered by Blue Cross Blue Shield in Washington Blue Cross Blue Shield plans in Washington (Premera, Regence) require prior authorization for Alprolix (coagulation factor IX, rFIXFc; eftrenonacog alfa), with approval typically taking 3-7 business days for complete submissions. The fastest path involves your hematologist submitting comprehensive

How to Get Alprolix Covered by Aetna CVS Health in New York: Formulary Status, Appeals Process & PA Requirements

Quick Answer: Getting Alprolix Covered by Aetna CVS Health in New York Challenge: Alprolix is excluded from Aetna's 2024 Advanced Control Formulary, meaning routine prior authorization isn't available. Path forward: Request a coverage exception with strong medical necessity documentation from your hematologist. First step today: Contact

How to Get Alprolix Covered by Blue Cross Blue Shield in Pennsylvania: PA Forms, Appeals & Success Strategies

Answer Box: Getting Alprolix Covered by BCBS in Pennsylvania Alprolix requires prior authorization from all Blue Cross Blue Shield plans in Pennsylvania. The fastest path to approval: (1) Have your hematologist submit a PA request through the BCBS provider portal with documentation of hemophilia B diagnosis, factor IX levels <