Topic

California

A collection of 238 issues

How to Get Uptravi (selexipag) Covered by Aetna (CVS Health) in California: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Uptravi (selexipag) Covered by Aetna (CVS Health) in California Uptravi (selexipag) requires prior authorization from Aetna (CVS Health) with strict clinical criteria. You'll need a pulmonologist or cardiologist to prescribe it, documented WHO Group I PAH diagnosis, and often proof of trying other PAH medications

Work With Your Doctor to Get Rapivab (Peramivir) Approved by Aetna CVS Health in California: Complete Provider Collaboration Guide

Answer Box: Getting Rapivab Covered by Aetna CVS Health in California Rapivab (peramivir) requires prior authorization from Aetna CVS Health in California. The fastest path to approval: work closely with your doctor to submit comprehensive clinical documentation showing you meet FDA criteria (symptom onset ≤48 hours) and cannot take oral/

How to Get Lutathera (Lutetium Lu-177 Dotatate) Covered by UnitedHealthcare in California: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Lutathera Covered by UnitedHealthcare in California UnitedHealthcare requires prior authorization for Lutathera (lutetium Lu-177 dotatate) with step therapy documentation showing progression on somatostatin analogs. The fastest path to approval involves: 1. Submit PA request through the UnitedHealthcare Provider Portal with SSTR-positive imaging (Ga-68 DOTATATE PET/CT), pathology

Oxbryta (Voxelotor) Coverage by Aetna CVS Health in California: 2024 FDA Withdrawal and Your Treatment Options

Answer Box: Oxbryta (Voxelotor) Status and Next Steps Oxbryta (voxelotor) was voluntarily withdrawn from all U.S. markets in September 2024 due to safety concerns. Aetna CVS Health and all insurers no longer authorize this medication. If you were taking Oxbryta, contact your hematologist immediately to discuss alternatives like hydroxyurea,

How to Get Nucala (Mepolizumab) Covered by Blue Cross Blue Shield of California: 2024 Prior Authorization Guide

Answer Box: Getting Nucala Covered by Blue Shield of California Blue Shield of California requires prior authorization for Nucala (mepolizumab) with specific criteria: eosinophil count >150 cells/µL (6 weeks) or >300 cells/µL (12 months), failed high-dose inhaled corticosteroids plus controller for 3+ months, and prescription by

Complete Guide to Getting Sylvant (Siltuximab) Covered by UnitedHealthcare in California: Prior Authorization, Appeals, and Success Strategies

Answer Box: Getting Sylvant Covered by UnitedHealthcare in California Fastest path to approval: Submit prior authorization through the UnitedHealthcare Provider Portal with complete documentation: confirmed iMCD diagnosis (ICD-10 D47.Z2), HIV-negative and HHV-8-negative lab results, pathology reports, and evidence of step therapy completion or contraindication. Standard approval takes 1-5 business

How to Get Bylvay (Odevixibat) Covered by Cigna in California: Complete Prior Authorization and Appeals Guide

Answer Box: Get Bylvay (Odevixibat) Covered by Cigna in California Cigna requires prior authorization for Bylvay (odevixibat) for PFIC and Alagille syndrome patients. To get approved: (1) Submit PA through your specialist with genetic testing, treatment history, and weight-based dosing documentation via Accredo specialty pharmacy, (2) If denied, file internal

Get Opfolda (miglustat) Covered by Cigna in California: Forms, Appeals & Support Contacts

Answer Box: Fast Path to Opfolda Coverage Opfolda (miglustat) is only approved with Pombiliti for adults with late-onset Pompe disease (≥40 kg) not improving on current enzyme replacement therapy. For Cigna approval in California: 1. Submit PA electronically via CoverMyMeds or call 1-800-882-4462 for urgent cases 2. Include required documentation:

How to Get Ofev (nintedanib) Covered by Blue Cross Blue Shield California: Forms, Appeals, and Step-by-Step Guide

Answer Box: Getting Ofev Covered in California Blue Cross Blue Shield California requires prior authorization for Ofev (nintedanib) with specific clinical criteria: pulmonologist consultation, HRCT showing fibrosis, PFTs with FVC ≥45% predicted, and baseline liver tests. Your fastest path: Download the PA form from Blue Shield's provider portal,

How to Get Eloctate Covered by Aetna CVS Health in California: Prior Authorization, Appeals, and State Protection Rights

Answer Box: Getting Eloctate Covered by Aetna CVS Health in California Eloctate requires prior authorization from Aetna CVS Health and must be prescribed by a hematologist. The fastest path to approval: (1) Have your hematologist gather comprehensive clinical documentation including bleeding history and prior treatment failures, (2) Submit the PA