Topic

Cerezyme (imiglucerase)

A collection of 23 issues

How to Get Cerezyme (Imiglucerase) Covered by Cigna in Florida: Complete Prior Authorization and Appeals Guide

Quick Answer: Do You Qualify for Cerezyme Coverage by Cigna in Florida? Yes, if you have confirmed Type 1 Gaucher disease with clinical symptoms. Cigna covers Cerezyme (imiglucerase) through Express Scripts/Accredo with prior authorization. Your fastest path: Have your specialist submit a complete PA request via CoverMyMeds with enzyme/

Do You Qualify for Cerezyme (Imiglucerase) Coverage by Humana in Ohio? Decision Tree & Next Steps

Answer Box: Your Path to Cerezyme Coverage in Ohio Yes, Humana covers Cerezyme (imiglucerase) in Ohio with prior authorization. Most approvals require: confirmed Type 1 Gaucher disease diagnosis (enzyme + genetic testing), specialist evaluation, and documented medical necessity. First step today: Contact your prescribing physician to initiate the prior authorization request

How to Get Cerezyme (Imiglucerase) Covered by Cigna in Illinois: Complete Coding, Appeals, and Prior Authorization Guide

Answer Box: To get Cerezyme (imiglucerase) covered by Cigna in Illinois, you need proper coding (ICD-10: E75.22, HCPCS: J1786), specialist documentation of Type 1 Gaucher disease with enzyme deficiency, and prior authorization through Cigna's specialty drug process. If denied, Illinois law gives you strong appeal rights including

How to Get Cerezyme (Imiglucerase) Covered by UnitedHealthcare in Georgia: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Cerezyme Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Cerezyme (imiglucerase) for Gaucher disease. Key steps: 1) Confirm Type 1 Gaucher diagnosis with enzyme testing, 2) Submit PA through UnitedHealthcare Provider Portal with specialist documentation, 3) If denied, file internal appeal within 180 days, then

How to Get Cerezyme (Imiglucerase) Covered by Cigna in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Cerezyme (Imiglucerase) Covered by Cigna in North Carolina Yes, Cigna covers Cerezyme (imiglucerase) for Type 1 Gaucher disease with prior authorization. Your fastest path to approval requires: (1) confirmed Gaucher disease Type 1 diagnosis with enzyme testing and genetic confirmation, (2) specialist prescriber (hematologist/geneticist), and (3)

How to Get Cerezyme (Imiglucerase) Covered by Blue Cross Blue Shield of Michigan: 2024 PA Requirements, Appeals Process & Forms

Answer Box: Getting Cerezyme Covered by Blue Cross Blue Shield of Michigan Good news for Michigan patients: Blue Cross Blue Shield of Michigan (BCBSM) covers Cerezyme as its preferred enzyme replacement therapy for Type 1 Gaucher disease. As of January 1, 2024, no prior authorization is required for Medicare Advantage

How to Get Cerezyme (Imiglucerase) Approved by UnitedHealthcare in New Jersey: Complete Appeals Guide

Answer Box: Getting Cerezyme Covered by UnitedHealthcare in New Jersey Cerezyme (imiglucerase) requires prior authorization from UnitedHealthcare/OptumRx in New Jersey and may face step therapy requirements. To get coverage: 1. Submit PA request via UnitedHealthcare Provider Portal with Gaucher disease confirmation and specialist documentation 2. Request step therapy exception

If Cerezyme (Imiglucerase) Isn't Approved by Blue Cross Blue Shield in Virginia: Formulary Alternatives & Exception Paths

Answer Box If Blue Cross Blue Shield Virginia denies Cerezyme (imiglucerase) for Gaucher disease, you have three main paths: request a formulary exception with medical necessity documentation, consider FDA-approved alternatives like VPRIV or Elelyso if covered, or pursue Virginia's external review process through the State Corporation Commission. Start

How to Get Cerezyme (Imiglucerase) Covered by Humana in Washington: Complete Guide with Forms and Appeals

Answer Box: Getting Cerezyme Covered by Humana in Washington Cerezyme (imiglucerase) requires prior authorization from Humana Medicare Advantage plans. Your fastest path to approval: 1) Confirm Type 1 Gaucher disease diagnosis with enzyme testing and genetic analysis, 2) Submit complete prior authorization request through Humana's provider portal with

How to Get Cerezyme (Imiglucerase) Covered by Aetna CVS Health in New York: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Cerezyme Covered by Aetna CVS Health in New York Cerezyme (imiglucerase) requires prior authorization from Aetna CVS Health in New York. The fastest path to approval involves three key steps: 1) Your doctor must document confirmed Gaucher disease diagnosis via enzyme or genetic testing, 2) provide evidence