Topic

Filspari (sparsentan)

A collection of 31 issues

The Requirements Checklist to Get Filspari (sparsentan) Covered by Humana in Virginia: Prior Authorization, Appeals, and REMS Documentation

Answer Box: Getting Filspari (sparsentan) Covered by Humana in Virginia Humana requires prior authorization for Filspari (sparsentan) with specific clinical criteria: biopsy-confirmed IgA nephropathy, UPCR ≥0.5 g/g, inadequate response to ACE inhibitor/ARB therapy for ≥3 months, and mandatory REMS enrollment. Submit PA via Humana's provider

Work With Your Doctor to Get Filspari (Sparsentan) Approved by Cigna in Illinois: Forms, Appeals, and Timeline

Answer Box: Getting Filspari Approved by Cigna in Illinois To get Filspari (sparsentan) covered by Cigna in Illinois, you need: (1) biopsy-proven IgA nephropathy with proteinuria ≥1.0 g/day and eGFR ≥30 mL/min, (2) documented failure/intolerance of maximized ACE inhibitor or ARB therapy for ≥90 days, and

How to Get Filspari (sparsentan) Covered by Humana in Michigan: Complete PA Guide and Appeal Process

Answer Box: Your Path to Filspari Coverage To get Filspari (sparsentan) covered by Humana in Michigan: You need biopsy-proven IgA nephropathy with persistent proteinuria ≥1g/day despite ACE inhibitor/ARB therapy, plus enrollment in the FDA REMS program with quarterly liver function tests. Submit prior authorization through your nephrologist using

How to Get Filspari (Sparsentan) Covered by Humana in North Carolina: Complete Guide with Forms, Appeals, and Cost-Saving Strategies

Answer Box: Fastest Path to Filspari Coverage Filspari (sparsentan) is covered by Humana Medicare Advantage plans with prior authorization required. Your nephrologist submits a PA request with IgA nephropathy diagnosis, lab results (proteinuria/eGFR), and medical necessity letter via Humana's provider portal or fax (800-555-2546). Standard approval takes

Filspari (Sparsentan) Approval with Cigna in New Jersey: Complete Guide to Prior Authorization, Appeals, and Coverage

Answer Box: Getting Filspari Covered by Cigna in New Jersey Filspari (sparsentan) requires prior authorization from Cigna for IgA nephropathy treatment. To get coverage in New Jersey: (1) Have your nephrologist submit a PA with biopsy-confirmed IgAN diagnosis, persistent proteinuria ≥0.8 g/g UPCR despite 12+ weeks of ACE

How to Get Filspari (sparsentan) Covered by Blue Cross Blue Shield in Ohio: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Filspari Covered by Blue Cross Blue Shield in Ohio Filspari (sparsentan) requires prior authorization from Blue Cross Blue Shield in Ohio, typically placed in Tier 5 specialty with 33% coinsurance. Your nephrologist must enroll in the REMS program, document failed ACE inhibitor/ARB therapy, and submit clinical

How to Get Filspari (Sparsentan) Covered by Aetna CVS Health in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Fast Track to Filspari Coverage in Texas To get Filspari (sparsentan) covered by Aetna CVS Health in Texas: Your nephrologist must submit a prior authorization showing biopsy-confirmed primary IgA nephropathy, UPCR ≥0.8 g/g, and 3+ months of failed ACE/ARB therapy. Complete REMS enrollment at filsparirems.

How to Get Filspari (sparsentan) Covered by Humana in Ohio: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Filspari Covered by Humana in Ohio Filspari (sparsentan) requires prior authorization from Humana with mandatory REMS enrollment and IgA nephropathy documentation. Submit PA through Humana's provider portal with kidney biopsy, UPCR ≥0.5-0.8 g/g, ACE/ARB failure records, and baseline liver tests. If

UnitedHealthcare's Coverage Criteria for Filspari (sparsentan) in Florida: What Counts as "Medically Necessary"?

Answer Box: UnitedHealthcare requires prior authorization for Filspari (sparsentan) with specific medical necessity criteria: biopsy-proven primary IgA nephropathy, nephrologist involvement, REMS enrollment, and documented proteinuria ≥0.5-1.0 g/day. Step therapy typically requires maximally tolerated ACE inhibitor/ARB first. Fastest approval path: (1) Complete REMS certification for prescriber and

Renewing Filspari (Sparsentan) Coverage with Blue Cross Blue Shield in California: Complete 2024 Guide with Timelines and Forms

Answer Box: Renewing Filspari Coverage in California Blue Shield of California requires quarterly renewal documentation for Filspari (sparsentan), including updated proteinuria labs, liver function tests per REMS requirements, and nephrologist attestation of clinical benefit. Start renewal 30-45 days before expiration. Submit via AuthAccel portal with current UPCR, eGFR, and LFTs.