Topic

Brensocatib (BRINSUPRI)

A collection of 25 issues

How to Get Brensocatib (BRINSUPRI) Covered by Cigna in Illinois: PA Forms, Appeals Timeline & Step Therapy Guide

Answer Box: Getting Brensocatib (BRINSUPRI) Covered by Cigna in Illinois Cigna requires prior authorization for Brensocatib (BRINSUPRI) with specific criteria: age ≥12 years, CT-confirmed bronchiectasis, ≥2 antibiotic-requiring exacerbations in past 12 months (≥1 for ages 12-17), prescription by pulmonologist/ID specialist, and current non-smoker status. Submit via your doctor'

How to Renew Brensocatib (BRINSUPRI) Approval with Humana in Virginia: 2025 Timeline & Required Documentation

Answer Box: Renewing Brensocatib (BRINSUPRI) with Humana in Virginia Brensocatib (BRINSUPRI) renewal with Humana typically requires submission 30-60 days before your current authorization expires. Key requirements: documented adherence ≥85%, clinical response evidence (reduced exacerbations, stable/improved FEV1), and prescriber attestation of continued medical necessity. Submit renewal requests via Humana'

Do You Qualify for Brensocatib (BRINSUPRI) Coverage by Humana in Pennsylvania? Complete Decision Tree & Appeal Guide

Answer Box: Get Brensocatib (BRINSUPRI) Covered by Humana in Pennsylvania Most likely eligible if you have: Non-CF bronchiectasis confirmed by CT scan, ≥2 exacerbations requiring antibiotics in 12 months, and documented trial/failure of macrolide therapy. Fastest path: Have your pulmonologist submit Humana's formulary exception request with medical

How to Get Brensocatib (BRINSUPRI) Covered by UnitedHealthcare in Michigan: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting BRINSUPRI Covered in Michigan Brensocatib (BRINSUPRI) requires prior authorization through UnitedHealthcare's OptumRx with documented non-cystic fibrosis bronchiectasis, age 12+, ≥2 exacerbations yearly, and failed macrolide trial. Submit via the UnitedHealthcare Provider Portal or fax to 1-844-403-1027. If denied, you have 180 days for internal appeals,

How to Get Brensocatib (BRINSUPRI) Covered by Humana in Florida: Complete Approval Guide

Answer Box: Quick Path to Approval To get Brensocatib (BRINSUPRI) covered by Humana in Florida: Submit prior authorization with confirmed bronchiectasis diagnosis via chest CT, documented failure of macrolide antibiotics, and ≥2 pulmonary exacerbations requiring antibiotics in the past year. Your pulmonologist must complete Humana's coverage determination form

The Requirements Checklist to Get Brensocatib (BRINSUPRI) Covered by Cigna in Michigan

Answer Box: Getting Started in Michigan Cigna requires prior authorization for Brensocatib (BRINSUPRI) with step therapy through macrolide antibiotics. Your pulmonologist submits via CoverMyMeds or fax (866-873-8279) with CT scan confirming bronchiectasis, documented exacerbations (≥2/year for adults), and failed macrolide trials. Standard approval takes 5-10 business days. If denied,

Get Brensocatib (BRINSUPRI) Covered by UnitedHealthcare in California: Complete Prior Authorization and Appeals Guide

Answer Box: Getting BRINSUPRI Covered by UnitedHealthcare in California Brensocatib (BRINSUPRI) requires prior authorization through OptumRx for UnitedHealthcare plans in California. Coverage typically requires documented trial and failure of macrolide antibiotics, confirmed non-cystic fibrosis bronchiectasis diagnosis with ≥2 exacerbations per year, and age 12+. First step: Have your pulmonologist submit

How to Get Brensocatib (BRINSUPRI) Covered by Blue Cross Blue Shield in Florida: Complete Appeals Guide

Answer Box: Getting Brensocatib (BRINSUPRI) Covered by Blue Cross Blue Shield in Florida Fastest Path: 1) Check if BRINSUPRI is on your Florida Blue formulary via their Drug Search tool. 2) If not listed or requires PA, submit prior authorization with documented macrolide failure/contraindication and ≥2 exacerbations/year. 3)

How to Get Brensocatib (BRINSUPRI) Covered by Aetna CVS Health in New York: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Brensocatib Covered by Aetna CVS Health in New York Brensocatib (BRINSUPRI) requires prior authorization from Aetna CVS Health with strict step therapy requirements: documented trial and failure of a macrolide antibiotic and airway clearance therapy. In New York, you have strong appeal rights through the state'

Getting Brensocatib (BRINSUPRI) Covered by Humana in Georgia: Complete Prior Authorization and Appeals Guide

Answer Box: To get Brensocatib (BRINSUPRI) covered by Humana in Georgia, you'll need prior authorization with documented failure of macrolide antibiotics and airway clearance therapies. Submit Humana's PA form with ICD-10 code J47.1 (bronchiectasis with exacerbation), NDC 71558-002, and clinical notes showing medical necessity. If