Topic

Darzalex / Darzalex Faspro (daratumumab)

A collection of 27 issues

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
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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
5 min read

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
6 min read

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:
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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,
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UnitedHealthcare's Coverage Criteria for Darzalex (Daratumumab) in North Carolina: Complete Medical Necessity Guide

Answer Box: Getting Darzalex Covered by UnitedHealthcare in North Carolina UnitedHealthcare requires prior authorization for Darzalex (daratumumab) with specific medical necessity criteria: confirmed multiple myeloma diagnosis, appropriate treatment line documentation, and FDA-approved or NCCN guideline-supported regimens. Submit PA requests through the UnitedHealthcare Provider Portal with complete clinical documentation. If denied,
6 min read

Blue Cross Blue Shield Virginia's Coverage Criteria for Darzalex/Darzalex Faspro: What Counts as "Medically Necessary"?

Answer Box: Getting Darzalex Covered by Blue Cross Blue Shield in Virginia Blue Cross Blue Shield Virginia requires prior authorization for daratumumab (Darzalex/Darzalex Faspro) with specific medical necessity criteria. To get approved: (1) Have your oncologist document FDA-approved diagnosis (multiple myeloma or AL amyloidosis) with ICD-10 codes, (2) Submit
6 min read