How to Get Elelyso (taliglucerase alfa) Covered by Blue Cross Blue Shield in New York: Complete Guide to Prior Authorization, Appeals, and Medical Necessity
Quick Answer: Getting Elelyso Covered in New York
Empire BlueCross BlueShield requires prior authorization for Elelyso (taliglucerase alfa). You'll need confirmed Type 1 Gaucher disease diagnosis (enzyme assay or genetic testing), specialist prescriber, and documented failure/intolerance of preferred ERTs like Cerezyme or VPRIV due to step therapy