Topic

Eylea / Lucentis (aflibercept / ranibizumab)

A collection of 16 issues

How to Get Eylea and Lucentis Covered by UnitedHealthcare in Texas: Prior Authorization Forms, Appeals, and Step Therapy Guide

Answer Box: Getting Started in Texas UnitedHealthcare requires prior authorization for both Eylea (aflibercept) and Lucentis (ranibizumab) in Texas, with step therapy typically requiring bevacizumab first unless contraindicated. Both drugs are placed in Tier 4 (Specialty) with higher copays or coinsurance. Fastest approval path: (1) Have your retina specialist submit
5 min read

How to Get Eylea and Lucentis Covered by Blue Cross Blue Shield of Texas: Complete Prior Authorization Guide

Quick Answer: Getting Eylea/Lucentis Approved by BCBS Texas Blue Cross Blue Shield of Texas requires prior authorization for Eylea (aflibercept) and Lucentis (ranibizumab). Most plans require step therapy with bevacizumab (Avastin) first, unless contraindicated. Submit requests through Availity Essentials with OCT imaging, visual acuity records, and diagnosis documentation. Standard
5 min read

Work With Your Doctor to Get Eylea and Lucentis Covered by Cigna in North Carolina: Complete Appeals Guide

Answer Box: Getting Eylea/Lucentis Covered by Cigna in North Carolina Eligibility: Cigna covers Eylea (aflibercept) and Lucentis (ranibizumab) for wet AMD, diabetic macular edema, and other retinal conditions, but requires prior authorization and typically step therapy with bevacizumab first. Fastest Path: Your ophthalmologist submits a prior authorization through Cigna&
6 min read