Topic

Duopa (carbidopa/levodopa enteral)

A collection of 13 issues

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

How to Get Duopa Covered by Blue Cross Blue Shield in New York: Appeals Guide & Templates

Answer Box: Getting Duopa Covered by Blue Cross Blue Shield in New York Duopa requires prior authorization and is classified as a specialty medication on Blue Cross Blue Shield formularies in New York. To get coverage approved: (1) Submit a prior authorization request with documentation of advanced Parkinson's

How to Get Duopa (Carbidopa/Levodopa Enteral) Covered by Aetna CVS Health in Ohio: Complete 2025 Guide with Forms and Appeals

Answer Box: Duopa Coverage by Aetna CVS Health in Ohio Yes, Aetna CVS Health covers Duopa (carbidopa/levodopa enteral) in Ohio, but requires prior authorization and specialty pharmacy dispensing. The medication is typically placed in Tier 5 (Specialty) with 25% coinsurance up to $150 per fill. Three steps to get

How to Get Duopa (Carbidopa/Levodopa Enteral) Covered by Cigna in New Jersey: Complete Requirements Guide and Appeals Process

Answer Box: Getting Duopa Covered by Cigna in New Jersey Eligibility: Cigna requires prior authorization for Duopa (carbidopa/levodopa enteral) for members with advanced Parkinson's disease experiencing at least 3 hours daily of "OFF" episodes despite optimized oral therapy. Fastest Path to Approval: 1. Have your

Myths vs. Facts: Getting Duopa (carbidopa/levodopa enteral) Covered by Blue Cross Blue Shield in Florida

Quick Answer: Duopa (carbidopa/levodopa enteral) requires prior authorization from Blue Cross Blue Shield Florida. Success depends on documenting advanced Parkinson's disease with ≥2 hours daily "OFF" time, failed oral therapies, and surgical candidacy for PEG-J tube placement. Submit via CoverMyMeds or call 1-877-719-2583. If denied,

Complete Guide to Getting Duopa Covered by Blue Cross Blue Shield in Washington: Requirements, Forms, and Appeals Process

Answer Box: Getting Duopa Covered by Blue Cross Blue Shield in Washington Duopa requires prior authorization from Blue Cross Blue Shield (BCBS) in Washington. To get approved: (1) Your neurologist submits a PA request with documentation of advanced Parkinson's disease, failed oral therapies, and 2+ hours daily "

Work With Your Doctor to Get Duopa Covered by Humana in Michigan: Complete Provider Partnership Guide

Quick Answer: Your Path to Duopa Approval in Michigan Getting Duopa covered by Humana requires demonstrating advanced Parkinson's disease with motor fluctuations despite optimized oral therapy. Your fastest path: Schedule a visit with your neurologist to document failed oral medications, quantify "OFF" time (typically 3+ hours

How to Get Duopa (Carbidopa/Levodopa Enteral) Covered by Aetna in Washington: Forms, Appeals & Step Therapy Guide

Answer Box: Getting Duopa Covered by Aetna in Washington Duopa (carbidopa/levodopa enteral) requires prior authorization from Aetna in Washington. You must first document failure or intolerance to oral carbidopa/levodopa plus one additional anti-Parkinson agent (COMT inhibitor, dopamine agonist, or MAO-B inhibitor). Submit the Medical Exception/Prior Authorization form

How to Get Duopa Covered by Humana in New York: Complete Prior Authorization Guide

Answer Box: To get Duopa covered by Humana in New York, you need prior authorization showing advanced Parkinson's disease with motor fluctuations despite optimized oral therapy. The fastest path: (1) Document 3+ hours daily "OFF" time with patient diaries, (2) Submit PA request through Humana'

How to Get Duopa Covered by Humana in California: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Duopa Covered by Humana in California Duopa (carbidopa/levodopa enteral) requires prior authorization from Humana Medicare Advantage plans in California. To get approved: (1) Submit PA request via Availity portal or call 1-866-488-5995 with complete clinical documentation showing advanced Parkinson's disease with motor fluctuations and