Topic

Crysvita (burosumab)

A collection of 44 issues

How to Get Crysvita (burosumab) Covered by Aetna (CVS Health) in Illinois: Appeals, Forms, and State Rights

Answer Box: Fast Track to Crysvita Coverage Getting Crysvita (burosumab) covered by Aetna (CVS Health) in Illinois requires prior authorization with genetic testing confirmation of XLH or tumor-induced osteomalacia. Submit PA requests via Availity portal or fax 1-866-249-6155 for specialty drugs. If denied, you have 180 days to appeal internally,

How to Get Crysvita (burosumab) Covered by Aetna (CVS Health) in Georgia: Complete PA Guide with Appeals Timeline

Answer Box: Getting Crysvita Covered by Aetna in Georgia Fast track to approval: Aetna (CVS Health) requires prior authorization for Crysvita (burosumab) with documented XLH diagnosis, failed oral phosphate/calcitriol therapy, and specialist oversight. If denied, Georgia residents have 60 days to file an external review through the Department of

Blue Cross Blue Shield California Crysvita (Burosumab) Coverage: Prior Authorization Requirements and Appeal Process

Answer Box: Getting Crysvita Covered by Blue Cross Blue Shield California To get Crysvita (burosumab) approved by Blue Cross Blue Shield California, you need: (1) documented XLH or TIO diagnosis with biochemical confirmation, (2) specialist prescription from endocrinologist or nephrologist, and (3) prior authorization through their specialty pharmacy network. For

Myths vs. Facts: Getting Crysvita (burosumab) Covered by Cigna in New York

Answer Box: Getting Crysvita (burosumab) Covered by Cigna in New York Fact: Cigna covers Crysvita for XLH and TIO when prior authorization criteria are met, including specialist oversight and documented failure/contraindication to conventional therapy. Fastest path: Have your endocrinologist submit a complete PA with genetic/lab evidence, prior therapy

How to Get Crysvita (Burosumab) Covered by Aetna CVS Health in Texas: PA Requirements, Appeals, and Cost Support

Answer Box: Getting Crysvita Covered by Aetna CVS Health in Texas Crysvita (burosumab) requires prior authorization from Aetna CVS Health in Texas. The fastest path: (1) Your doctor submits genetic/lab evidence of XLH or TIO diagnosis plus Aetna's precertification form, (2) Aetna reviews within 30-45 days, (3)

How to Get Crysvita (burosumab) Covered by Cigna in Texas: Complete Forms, Appeals & Contact Guide

Answer Box: Getting Crysvita Covered by Cigna in Texas Fastest path to approval: Submit Cigna's Crysvita Prior Authorization form with genetic/biochemical XLH confirmation and specialist documentation to fax 855-840-1678. Timeline: 72 hours standard, 24 hours expedited. If denied: File internal appeal within 180 days, then external review

Myths vs. Facts: Getting Crysvita (Burosumab) Covered by Cigna in Pennsylvania

Answer Box: Getting Crysvita Covered by Cigna in Pennsylvania Eligibility: Cigna requires prior authorization for Crysvita (burosumab) in Pennsylvania with specific criteria: confirmed XLH diagnosis via PHEX gene mutation or elevated FGF23, age 6+ months, specialist prescription, and attestation of no concurrent phosphate/vitamin D use. Fastest path: Submit complete

How to Get Crysvita (burosumab) Covered by UnitedHealthcare in Pennsylvania: Complete Guide with Forms, Appeals, and Contacts

Answer Box: Getting Crysvita Covered by UnitedHealthcare in Pennsylvania UnitedHealthcare requires prior authorization for Crysvita (burosumab) in Pennsylvania. Submit through the UnitedHealthcare Provider Portal with required documentation: XLH diagnosis confirmation (genetic testing or elevated FGF23), specialist prescription, and for adults, evidence of failed oral phosphate/calcitriol therapy. If denied, use

Lowering Out-of-Pocket for Crysvita (burosumab) with Aetna (CVS Health) in Ohio: Copay Assistance, Tiering & Appeals

Quick Answer: Reducing Crysvita (burosumab) Costs with Aetna (CVS Health) in Ohio Crysvita costs $4,451-$13,354 per vial depending on dose. With Aetna (CVS Health), expect 50% coinsurance on this specialty-tier medication. Three key cost-reduction strategies: 1) Enroll in Kyowa Kirin Cares copay assistance (commercial insurance only), 2)

Get Crysvita (Burosumab) Covered by UnitedHealthcare in Georgia: Complete Guide with Forms, Appeals, and Contacts

Answer Box: Getting Crysvita Covered by UnitedHealthcare in Georgia Fastest path to approval: Submit a prior authorization through UnitedHealthcare's provider portal with genetic testing or elevated FGF23 results, specialist prescription, and documented low serum phosphorus. Adults need proof of failed oral phosphate plus calcitriol therapy first. If denied,