Topic

Florida

A collection of 48 issues

Renewing Besponsa (Inotuzumab Ozogamicin) Approval with Cigna in Florida: Complete 2025 Guide

Quick Answer: Besponsa (inotuzumab ozogamicin) renewals with Cigna require updated clinical documentation showing continued medical necessity for CD22-positive ALL. Start your renewal 30-45 days before your current authorization expires. Submit through Cigna's provider portal or fax 1-866-873-8279 with recent labs, treatment response data, and hepatotoxicity monitoring results. In
5 min read

How to Get Venclexta (Venetoclax) Covered by Humana in Florida: Complete Prior Authorization Guide

Answer Box: Getting Venclexta (Venetoclax) Covered by Humana in Florida Venclexta (venetoclax) requires prior authorization for all Humana Medicare Advantage plans in Florida. The fastest path to approval involves submitting a complete Medicare Part D coverage determination request with detailed clinical justification, tumor lysis syndrome (TLS) monitoring plan, and baseline
5 min read

How to Get Trikafta (Elexacaftor/Tezacaftor/Ivacaftor) Covered by UnitedHealthcare in Florida: Complete Guide to Prior Authorization, Appeals, and State Protections

Quick Answer: Getting Trikafta Covered by UnitedHealthcare in Florida UnitedHealthcare requires prior authorization for Trikafta (elexacaftor/tezacaftor/ivacaftor) with specific criteria: patient must be 2+ years old with cystic fibrosis and have at least one F508del mutation or FDA-responsive CFTR mutation confirmed by lab testing. Submit PA through OptumRx with
6 min read

How Long Does It Take to Get Krystexxa (Pegloticase) Approved by UnitedHealthcare in Florida? Complete Timeline Guide

Answer Box: Getting Krystexxa Approved by UnitedHealthcare in Florida Standard timeline: 15 days for prior authorization decision, 7 days for appeals. UnitedHealthcare requires prior authorization for Krystexxa (pegloticase) through OptumRx, with strict requirements including G6PD testing, documented failure of standard gout medications, and rheumatology specialist prescribing. First step today: Have
5 min read

How to Get Arikayce Covered by UnitedHealthcare in Florida: Prior Authorization, Appeals, and Step Therapy Exceptions

Answer Box: Getting Arikayce Covered by UnitedHealthcare in Florida UnitedHealthcare requires prior authorization for Arikayce (amikacin liposome inhalation) in Florida with strict medical necessity criteria. To get approved: 1. Document 6+ months of failed multidrug MAC therapy with persistent positive cultures 2. Submit OptumRx prior authorization via professionals.optumrx.com
5 min read