Topic

Duopa (carbidopa/levodopa enteral)

A collection of 22 issues

How to Get Duopa (Carbidopa/Levodopa Enteral) Covered by Cigna in California: Prior Authorization Guide and Appeals Process

Answer Box: Cigna covers Duopa (carbidopa/levodopa enteral) with prior authorization for advanced Parkinson's disease patients experiencing motor fluctuations despite optimized oral therapy. Three steps to approval: 1) Your neurologist submits PA documentation showing failed oral carbidopa/levodopa trials and ≥3 hours daily OFF time, 2) Cigna reviews

How to Get Duopa Covered by UnitedHealthcare in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Duopa Covered by UnitedHealthcare in Texas UnitedHealthcare requires prior authorization for Duopa (carbidopa/levodopa enteral suspension) with 12-month approvals based on advanced Parkinson's disease diagnosis and failed oral therapy trials. Start 30-60 days before needed: your neurologist submits clinical documentation via the UHC Provider Portal

Lowering Out-of-Pocket for Duopa with Blue Cross Blue Shield in Ohio: Copay Cards, Tiering & Financial Assistance

Answer Box: Duopa Cost Reduction with Blue Cross Blue Shield in Ohio Duopa costs ~$84,000 annually, but Ohio BCBS patients can reduce out-of-pocket through manufacturer copay cards (commercial plans), patient assistance programs (uninsured/underinsured), and specialty tier exceptions. Start with a benefits investigation to determine if Duopa is covered

Renewing Duopa (Carbidopa/Levodopa Enteral) Coverage with Cigna in North Carolina: Timeline, Documentation & Appeals

Quick Answer: Renewing Your Duopa Coverage in North Carolina Cigna approves Duopa renewals for 1-year periods when you still meet the original criteria and show continued benefit. Start your renewal 30-45 days before expiration. You'll need: updated neurology notes documenting ongoing advanced Parkinson's with OFF episodes,

How Long Does It Take to Get Duopa (Carbidopa/Levodopa Enteral) Approved by UnitedHealthcare in Virginia? Complete Timeline & Appeals Guide

Answer Box: Getting Duopa Covered by UnitedHealthcare in Virginia UnitedHealthcare requires prior authorization (PA) for Duopa (carbidopa/levodopa enteral) with 15-day standard review or 72-hour expedited review for urgent cases. Success requires documenting advanced Parkinson's disease, failed oral therapy, and planned PEG-J tube placement. First step: Have your

How to Get Duopa Covered by Humana in North Carolina: Prior Authorization, Appeals, and State Protection Guide

Quick Answer: Duopa requires prior authorization from Humana with step therapy requirements. Submit PA through Humana Clinical Pharmacy Review at 1-800-555-2546. If denied, you have 65 days to appeal internally, then use federal Medicare appeals (not North Carolina Smart NC for Medicare plans). Document advanced Parkinson's with motor

Do You Qualify for Duopa Coverage by Humana in Washington? Decision Tree & Next Steps

Answer Box: To qualify for Duopa coverage by Humana in Washington, you need advanced Parkinson's disease with documented motor fluctuations (≥3 hours daily OFF time) despite optimized oral therapy. Submit prior authorization with neurologist assessment, failed treatment history, and surgical candidacy documentation. If denied, use Humana's

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

Answer Box: Getting Duopa Covered by Blue Cross Blue Shield in New Jersey Duopa requires prior authorization from Blue Cross Blue Shield in New Jersey under the medical benefit (not pharmacy). Submit through your neurologist with documented advanced Parkinson's disease, ≥2-3 hours daily "OFF" time, failed

How to Get Duopa Covered by Humana in Florida: Complete Guide to Prior Authorization, Appeals, and State Protections

Quick Answer: Getting Duopa Covered by Humana in Florida Duopa requires prior authorization from Humana Medicare Advantage plans in Florida. Your fastest path to approval: (1) Have your neurologist submit a complete PA request through Humana's provider portal with documented motor fluctuations (≥3 hours "OFF" time

How to Get Duopa Covered by UnitedHealthcare in Ohio: Complete Appeals Guide with Forms and Timelines

Quick Answer: Getting Duopa Covered by UnitedHealthcare in Ohio UnitedHealthcare requires prior authorization for Duopa with documented advanced Parkinson's disease, motor fluctuations ("OFF" time), and failed oral therapy optimization. If denied, you have 180 days to appeal internally, then 180 days for external review through the