Topic

Entresto (sacubitril/valsartan)

A collection of 29 issues

Work With Your Doctor to Get Entresto (sacubitril/valsartan) Approved by Cigna in California

Answer Box: Getting Entresto (sacubitril/valsartan) Covered by Cigna in California Cigna requires prior authorization for Entresto with step therapy—you must try generic sacubitril-valsartan first. Your cardiologist needs to document heart failure with reduced ejection fraction (LVEF ≤40%) and prior ACE inhibitor or ARB failure/intolerance. If denied, California&

If Entresto Isn't Approved by Aetna CVS Health in Florida: Formulary Alternatives & Exception Paths

Answer Box: Your Options When Entresto Isn't Covered If Aetna CVS Health denies Entresto (sacubitril/valsartan) in Florida, you have three paths: try covered heart failure alternatives (ACE inhibitors, ARBs), request a formulary exception with clinical documentation, or appeal the denial through Florida's external review process.

How to Get Entresto (sacubitril/valsartan) Covered by Aetna (CVS Health) in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Entresto Covered by Aetna (CVS Health) in North Carolina Aetna (CVS Health) requires prior authorization for Entresto (sacubitril/valsartan) in heart failure with reduced ejection fraction (LVEF ≤40%). Submit complete documentation through the Aetna provider portal or fax 1-859-425-3379 within 14 days for approval. If denied, appeal

The Requirements Checklist to Get Entresto (Sacubitril/Valsartan) Covered by Aetna (CVS Health) in Washington

Quick Answer: Getting Entresto Approved Entresto requires prior authorization from Aetna (CVS Health) for heart failure patients with LVEF ≤40%. To get approved in Washington: 1) Gather recent echocardiogram showing reduced ejection fraction, 2) Document ACE inhibitor or ARB trial failure, 3) Submit via Aetna provider portal. If denied, you

Myths vs. Facts: Getting Entresto (sacubitril/valsartan) Covered by Cigna in Ohio

Answer Box: Getting Entresto Covered by Cigna in Ohio Myth: If your doctor prescribes Entresto, Cigna automatically covers it. Fact: Cigna requires prior authorization and documented failure of generic ACE inhibitors or ARBs first. To get approved in Ohio: 1) Gather your heart failure diagnosis (LVEF <40%), prior medication

How to Get Entresto (Sacubitril/Valsartan) Covered by Cigna in New York: Forms, Appeals, and Step-by-Step Guide

Answer Box: Your Fastest Path to Entresto Coverage in New York Cigna requires prior authorization for Entresto (sacubitril/valsartan) through Express Scripts. Submit your PA request with heart failure diagnosis (ICD-10 I50.22), LVEF results, and documented ACE inhibitor/ARB trial failure. If denied, you have 180 days for internal

Getting Entresto Covered by UnitedHealthcare in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Quick Path to Approval UnitedHealthcare requires prior authorization for Entresto (sacubitril/valsartan) in North Carolina. To get approved: Your cardiologist must document heart failure with LVEF ≤40%, NYHA Class II-IV symptoms, and prior ACE inhibitor/ARB trial or intolerance. Submit through UnitedHealthcare Provider Portal with recent echocardiogram, clinical

How to Get Entresto (sacubitril/valsartan) Covered by Cigna in Florida: Appeals, Forms, and Medical Necessity Requirements

Quick Answer: Getting Entresto Covered by Cigna in Florida Fastest path to approval: Submit prior authorization with documented heart failure diagnosis (LVEF ≤40%), NYHA class, and prior ACE inhibitor/ARB failure or intolerance. If denied, file internal appeal within 180 days citing Florida step-therapy protections. Start today: Call Cigna at

How to Get Entresto (sacubitril/valsartan) Covered by Aetna (CVS Health) in California: Complete Prior Authorization Guide

Answer Box: Getting Entresto Covered by Aetna (CVS Health) in California Entresto (sacubitril/valsartan) requires prior authorization from Aetna (CVS Health) on most 2024-2025 California plans. Fastest path: Submit the California-specific PA form with complete heart failure documentation (LVEF ≤40%, NYHA class, prior ACE/ARB history) via Aetna's

Myths vs. Facts: Getting Entresto (sacubitril/valsartan) Covered by Humana in Illinois

Quick Answer: Humana Medicare Advantage plans in Illinois require prior authorization for Entresto with documented heart failure (LVEF ≤40%), ACE inhibitor/ARB trial and failure/intolerance, and 36-hour ACE inhibitor washout. If denied, you have 65 days to appeal, plus Illinois external review rights within 4 months. Start by checking