Topic

Defitelio (defibrotide)

A collection of 27 issues

How to Get Defitelio (Defibrotide) Covered by Humana in Ohio: Prior Authorization, Appeals, and Cost-Saving Strategies

Answer Box: Getting Defitelio Covered by Humana in Ohio Defitelio (defibrotide) requires prior authorization from Humana Medicare Advantage plans in Ohio. Your prescriber must submit medical necessity documentation proving hepatic veno-occlusive disease (VOD) or sinusoidal obstruction syndrome (SOS) post-HSCT with supporting labs and clinical notes. If denied, you have 65
7 min read

How to Get Defitelio (defibrotide) Covered by Cigna in North Carolina: Complete PA Guide and Appeals Process

Answer Box: Getting Defitelio Covered by Cigna in North Carolina Defitelio (defibrotide) requires prior authorization from Cigna for hepatic veno-occlusive disease (VOD/SOS) with organ dysfunction post-stem cell transplant. Submit PA through electronic portals like CoverMyMeds or Evicore for fastest approval (often same-day). Include HSCT details, VOD/SOS diagnosis with
5 min read

How Long Does It Take to Get Defitelio (Defibrotide) Approved by UnitedHealthcare in Washington? Complete Timeline Guide

Quick Answer: UnitedHealthcare typically processes Defitelio (defibrotide) prior authorization requests within 3-7 business days for standard review, or 24-72 hours for expedited cases involving hepatic VOD/SOS after HSCT. In Washington, if denied, you have 180 days to appeal internally, followed by external review through an Independent Review Organization (IRO)
6 min read

How to Get Defitelio (Defibrotide) Covered by Aetna CVS Health in Illinois: Complete Guide with Forms and Appeals

Answer Box: Getting Defitelio Covered by Aetna in Illinois Defitelio (defibrotide) requires prior authorization from Aetna CVS Health for severe hepatic veno-occlusive disease (VOD/SOS) with organ dysfunction post-HSCT. Submit PA through Aetna provider portal with complete transplant records, organ dysfunction evidence, and FDA indication match. If denied, file internal
6 min read

Work With Your Doctor to Get Defitelio (Defibrotide) Approved by Aetna (CVS Health) in California: Complete Guide With Forms and Appeals

Answer Box: Getting Defitelio (Defibrotide) Approved by Aetna (CVS Health) in California Defitelio (defibrotide) requires prior authorization from Aetna (CVS Health) for severe hepatic veno-occlusive disease (VOD/SOS) with organ dysfunction post-stem cell transplant. The fastest path to approval: (1) Have your transplant team submit the PA through Aetna'
6 min read

Work With Your Doctor to Get Defitelio (defibrotide) Approved by Blue Cross Blue Shield in Washington: Complete Prior Authorization Guide

Quick Answer: Defitelio (defibrotide) requires prior authorization from Blue Cross Blue Shield plans in Washington for hepatic VOD/SOS with organ dysfunction after HSCT. Success depends on partnering with your transplant team to document HSCT details, organ dysfunction, and meeting diagnostic criteria. Start by requesting your plan's Defitelio
6 min read

How to Get Defitelio (Defibrotide) Covered by Aetna CVS Health in Florida: Complete Prior Authorization and Appeals Guide

Quick Start: Getting Defitelio (Defibrotide) Approved by Aetna CVS Health in Florida Defitelio requires prior authorization from Aetna CVS Health for hepatic veno-occlusive disease (VOD) treatment following hematopoietic stem cell transplant. Your transplant team must document VOD using Baltimore or Cairo criteria plus organ dysfunction. Submit through Aetna's
5 min read

How to Get Defitelio (defibrotide) Covered by Aetna CVS Health in New Jersey: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Defitelio Covered by Aetna CVS Health in New Jersey Defitelio requires prior authorization from Aetna CVS Health for hepatic veno-occlusive disease (VOD) with organ dysfunction following stem cell transplant. Your transplant team must submit clinical documentation proving VOD diagnosis using Baltimore or Cairo criteria, plus evidence of
5 min read