Topic

Exondys 51 (eteplirsen)

A collection of 12 issues

Getting Exondys 51 (Eteplirsen) Covered by Blue Cross Blue Shield in New York: Complete PA Guide

Answer Box: Quick Path to Coverage Exondys 51 (eteplirsen) requires prior authorization from Blue Cross Blue Shield in New York. Your fastest path: 1) Confirm genetic testing shows DMD with exon 51 mutation amenable to skipping, 2) Have a pediatric neurologist or neuromuscular specialist complete the BCBS Medical Authorization Request

Renewing Exondys 51 (Eteplirsen) Approval with UnitedHealthcare in North Carolina: 2025 Requirements & Timeline

Answer Box: Renewing Your Exondys 51 Coverage Quick Answer: UnitedHealthcare requires annual renewal of Exondys 51 (eteplirsen) prior authorization with updated clinical documentation. Start the renewal process 60-90 days before your current authorization expires. You'll need: neurologist evaluation showing continued benefit, updated cardiac/renal function tests, and proof