Topic

Darzalex / Darzalex Faspro (daratumumab)

A collection of 30 issues

Get Darzalex Covered by Cigna in Illinois: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Darzalex Covered by Cigna in Illinois Cigna requires prior authorization for both Darzalex IV and Darzalex Faspro (subcutaneous) under most commercial plans in Illinois. Submit the official PA form via CoverMyMeds or fax to (855) 840-1678. Standard approval takes 5 business days; expedited reviews process in 72

Lowering Out-of-Pocket Costs for Darzalex (Daratumumab) with UnitedHealthcare in New Jersey: Copay Cards, Appeals, and Financial Assistance

Answer Box: Reducing Darzalex Costs with UnitedHealthcare in New Jersey Darzalex (daratumumab) costs with UnitedHealthcare can be reduced through Janssen CarePath copay assistance ($5-10 per infusion, $15,000 annual cap for commercial plans), tier exception requests for high specialty tiers, and New Jersey's external appeal process via IHCAP.

How to Get Darzalex (Daratumumab) Covered by Aetna CVS Health in New Jersey: Complete PA Forms, Appeals Guide & Contact Directory

Answer Box: Getting Darzalex Covered by Aetna CVS Health in New Jersey Aetna CVS Health requires prior authorization for Darzalex (daratumumab) in New Jersey, submitted via Availity portal or CVS Caremark at 1-800-294-5979. Coverage typically requires documentation of FDA-approved multiple myeloma indications, prior therapy failures, and prescriber attestation. If denied,

How to Get Darzalex Covered by Blue Cross Blue Shield in Ohio: Prior Authorization Forms, Appeal Deadlines, and Success Strategies

Quick Answer: Getting Darzalex Covered by Ohio Blue Cross Blue Shield Yes, Blue Cross Blue Shield covers Darzalex (daratumumab) in Ohio, but prior authorization is required. Anthem BCBS Ohio updated their clinical criteria (CC-0127) in December 2024 for both Darzalex IV and Darzalex Faspro. Your fastest path: Have your oncologist

How to Get Darzalex Covered by Blue Cross Blue Shield in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Darzalex Approved by Blue Cross Blue Shield in New York Darzalex requires prior authorization from all Blue Cross Blue Shield plans in New York. Submit your PA request using plan-specific forms with complete documentation: multiple myeloma diagnosis (ICD-10 C90.0), prior therapy failures, and medical necessity justification.

How to Get Darzalex / Darzalex Faspro (daratumumab) Covered by Humana in Illinois: Timeline, Appeals, and Prior Authorization Guide

Answer Box: Getting Darzalex / Darzalex Faspro Approved by Humana in Illinois Humana requires prior authorization for Darzalex/Darzalex Faspro (daratumumab) for multiple myeloma, typically deciding within 7 days for standard requests or 72 hours for expedited cases. Your oncologist submits via Humana's provider portal with diagnosis, prior therapy

Do You Qualify for Darzalex Coverage by UnitedHealthcare in New York? Complete Decision Tree & Appeals Guide

Answer Box: Your Path to Darzalex Coverage UnitedHealthcare requires prior authorization for Darzalex/Darzalex Faspro in New York, with coverage tied to FDA-approved indications and NCCN guidelines. Most likely eligible: confirmed multiple myeloma with specialist prescribing and documented treatment line. First step today: Have your oncologist gather pathology reports, prior

How to Get Darzalex / Darzalex Faspro (daratumumab) Covered by Cigna in Virginia: Prior Authorization, Appeals, and Cost Support

Answer Box: Getting Darzalex / Darzalex Faspro Covered by Cigna in Virginia Cigna requires prior authorization for Darzalex / Darzalex Faspro (daratumumab) in Virginia. Your oncologist must submit clinical documentation showing FDA-approved indication, prior therapy history, and compliance with Cigna's multiple myeloma criteria. If denied, you have internal appeal rights

If Darzalex Isn't Approved by UnitedHealthcare in Washington: Formulary Alternatives & Exception Paths

Answer Box: When Darzalex Isn't Your First Option If UnitedHealthcare denies Darzalex (daratumumab) in Washington, you have proven alternatives and exception paths. Fastest approach: Try formulary alternatives like Sarclisa (isatuximab) or proteasome inhibitors first, document response/failure thoroughly, then request a Darzalex exception with clinical evidence. Start today:

How to Get Darzalex / Darzalex Faspro (daratumumab) Covered by Aetna in Michigan: Prior Authorization Guide and Appeals Process

Answer Box: Getting Darzalex / Darzalex Faspro Covered by Aetna in Michigan Aetna requires prior authorization for both Darzalex (IV) and Darzalex Faspro (subcutaneous) in Michigan. Submit your PA request to (866) 752-7021 or fax (888) 267-3277 with complete clinical documentation including diagnosis, prior therapy failures, and treatment plan. If denied,