Topic

Evkeeza (evinacumab-dgnb)

A collection of 5 issues

How to Get Evkeeza (evinacumab-dgnb) Approved by Cigna in Texas: Timeline, Forms & Appeal Process

Quick Answer: Getting Evkeeza Approved by Cigna in Texas Cigna requires prior authorization for Evkeeza (evinacumab-dgnb) to treat homozygous familial hypercholesterolemia (HoFH). Timeline: 7 days for standard review, 72 hours for urgent cases (effective 2026). First step: Gather HoFH diagnosis confirmation, prior therapy records, and recent LDL-C levels. Submit through

UnitedHealthcare's Coverage Criteria for Evkeeza in Texas: What Counts as "Medically Necessary"?

Answer Box: Getting Evkeeza Covered by UnitedHealthcare in Texas UnitedHealthcare requires prior authorization for Evkeeza (evinacumab-dgnb) with strict medical necessity criteria. You'll need documented homozygous familial hypercholesterolemia (HoFH), genetic testing or LDL-C ≥300 mg/dL on maximally tolerated therapy, and evidence of failed standard treatments. First step: Have

Renewing Evkeeza (evinacumab-dgnb) Approval with Blue Cross Blue Shield in New Jersey: 2025 Requirements & Timeline

Answer Box: Renewing Evkeeza Coverage in New Jersey Blue Cross Blue Shield (BCBS) requires annual prior authorization renewal for Evkeeza (evinacumab-dgnb) in New Jersey. Key requirements include documented HoFH diagnosis, updated LDL-C labs showing ongoing need, and evidence of maximum tolerated lipid-lowering therapy. Start renewal 60-90 days before expiration. If

How to Get Evkeeza (Evinacumab) Covered by UnitedHealthcare in Michigan: Prior Authorization, Appeals, and State Protections

Quick Answer: Getting Evkeeza Covered by UnitedHealthcare in Michigan Evkeeza (evinacumab) requires prior authorization from UnitedHealthcare through OptumRx, typically with step therapy requirements. For homozygous familial hypercholesterolemia (HoFH) patients in Michigan, the fastest path involves: 1) Having your specialist submit a PA request with genetic confirmation and documented failures of

How to Get Evkeeza (evinacumab-dgnb) Covered by Humana in Michigan: Prior Authorization Forms, Appeal Timelines & Scripts

Quick Answer: Getting Evkeeza Covered by Humana in Michigan Evkeeza (evinacumab-dgnb) requires prior authorization from Humana and is covered under your medical benefit, not pharmacy benefit, since it's given by IV infusion. Your fastest path to approval: 1) Confirm HoFH diagnosis with genetic testing or clinical criteria, 2)