Topic

Dupixent (dupilumab)

A collection of 25 issues

How to Get Dupixent (dupilumab) Covered by Aetna (CVS Health) in California: Complete Prior Authorization Guide

Answer Box: Get Dupixent Covered by Aetna in California Fastest Path to Approval: Aetna requires prior authorization for all Dupixent uses. Your dermatologist or allergist must submit documentation showing failed trials of topical treatments (corticosteroids and calcineurin inhibitors) within 180 days, plus proof of moderate-to-severe disease. Standard approval takes 30-45
6 min read

Myths vs. Facts: Getting Dupixent (dupilumab) Covered by UnitedHealthcare in Washington - Appeals Guide and Prior Authorization Requirements

Quick Answer: Dupixent Coverage by UnitedHealthcare in Washington Myth: If your doctor prescribes Dupixent, UnitedHealthcare automatically covers it. Fact: UnitedHealthcare requires prior authorization for all Dupixent prescriptions, with specific step therapy and documentation requirements that vary by indication. In Washington, if denied, you can appeal through UnitedHealthcare's internal
5 min read

How to Get Dupixent (dupilumab) Covered by Aetna CVS Health in North Carolina: Appeals Guide and Templates

Answer Box: Getting Dupixent Covered by Aetna CVS Health in North Carolina Dupixent requires prior authorization from Aetna CVS Health with specific step therapy requirements. For atopic dermatitis, you must document failure of high-potency topical corticosteroids or calcineurin inhibitors within 180 days. For asthma, inadequate response to inhaled corticosteroids is
6 min read

How to Get Dupixent (dupilumab) Covered by UnitedHealthcare in Texas: Complete Guide to Prior Authorization and Appeals

Quick Answer: Getting Dupixent Covered by UnitedHealthcare in Texas Yes, UnitedHealthcare covers Dupixent (dupilumab) in Texas with prior authorization. The fastest path to approval: 1) Have your doctor submit a complete prior authorization request through the UnitedHealthcare provider portal with documented step therapy failures and medical necessity, 2) Include required
7 min read

How to Get Dupixent (dupilumab) Covered by Humana in California: Complete Appeals Guide with Forms and Scripts

Answer Box: Getting Dupixent (dupilumab) Covered by Humana in California Fastest path to approval: Humana requires prior authorization for Dupixent, with step therapy documentation often needed. Submit complete clinical documentation including diagnosis, prior treatment failures, and medical necessity letter via Humana's provider portal or fax 877-486-2621. Standard decisions
6 min read

How to Get Dupixent (dupilumab) Covered by Aetna (CVS Health) in Illinois: Prior Authorization Forms, Appeals, and Coding Guide

Answer Box: Getting Dupixent (dupilumab) Covered by Aetna (CVS Health) in Illinois Yes, Aetna (CVS Health) covers Dupixent (dupilumab) in Illinois with prior authorization. The fastest path to approval requires documenting your diagnosis (ICD-10 codes), failed step therapy (topical treatments for atopic dermatitis, inhaled corticosteroids for asthma), and medical necessity.
6 min read