Topic

Arcalyst (rilonacept)

A collection of 23 issues

Get Arcalyst (Rilonacept) Covered by Blue Cross Blue Shield in New York: Complete Guide to Prior Authorization and Appeals

Quick Answer: Getting Arcalyst Covered in New York Yes, Blue Cross Blue Shield plans in New York cover Arcalyst (rilonacept) for approved conditions—but prior authorization is required. The fastest path: Have your specialist submit a PA request with complete documentation of your diagnosis (CAPS, DIRA, or recurrent pericarditis), prior

How to Get Arcalyst (Rilonacept) Approved by UnitedHealthcare in Georgia: Prior Authorization Guide with Appeals Process

Answer Box: Getting Arcalyst Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Arcalyst (rilonacept) with approval based primarily on FDA-approved diagnoses: CAPS, DIRA, or recurrent pericarditis. The fastest path to approval involves three steps: (1) Verify your diagnosis meets UnitedHealthcare's criteria and gather clinical documentation, (2)

Renewing Arcalyst (Rilonacept) Approval with Blue Cross Blue Shield in New Jersey: Complete Guide for 2025

Answer Box: Renewing Arcalyst Coverage in New Jersey Blue Cross Blue Shield renewal of Arcalyst (rilonacept) requires updated clinical documentation showing therapeutic benefit 30 days before your current authorization expires. Key requirements include evidence of symptom improvement, normalized inflammatory markers (CRP/SAA), and lipid monitoring results. Submit renewal documentation through