Topic

Evkeeza (evinacumab-dgnb)

A collection of 29 issues

How to Get Evkeeza (Evinacumab-dgnb) Covered by Humana in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Evkeeza Covered by Humana in New York Evkeeza (evinacumab-dgnb) is covered by Humana Medicare Advantage plans but requires prior authorization. For fastest approval: (1) Your provider submits genetic testing results confirming homozygous familial hypercholesterolemia (HoFH), documented LDL-C levels >400-500 mg/dL, and records of maximally tolerated
6 min read

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
6 min read

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
6 min read

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
6 min read