Topic

Givlaari (givosiran)

A collection of 38 issues

Do You Qualify for Givlaari (givosiran) Coverage by UnitedHealthcare in Illinois? Decision Tree & Next Steps

Answer Box: Your Fastest Path to Givlaari Coverage in Illinois Yes, you can get Givlaari (givosiran) covered by UnitedHealthcare in Illinois if you meet specific criteria: age 18+, confirmed acute hepatic porphyria with elevated urinary ALA/PBG levels, and documented attack history (≥2 attacks in past 6 months). UnitedHealthcare requires

Myths vs. Facts: Getting Givlaari (givosiran) Covered by Aetna (CVS Health) in North Carolina

Answer Box: Getting Givlaari (givosiran) covered by Aetna (CVS Health) in North Carolina requires prior authorization with specific documentation: elevated ALA/PBG levels during attacks, attack history requiring hospitalization or hemin, and specialist prescriber. Submit via CVS Caremark Specialty or Availity portal. If denied, North Carolina's Smart NC

Resources to Get Givlaari (givosiran) Approved with Cigna in California: Forms, Portals & Contacts

Answer Box: Getting Givlaari (givosiran) Covered by Cigna in California Fastest path to approval: Submit Cigna's current Givlaari-specific PA form via CoverMyMeds portal with biochemical confirmation (elevated ALA/PBG), attack history, and specialist documentation. If denied, file internal appeal within 180 days, then request California DMHC Independent Medical

How to Get Givlaari (Givosiran) Covered by Aetna CVS Health in Washington: Complete Forms, Appeals Guide & Contact Numbers

Quick Answer: Getting Givlaari (Givosiran) Covered by Aetna CVS Health in Washington Path to approval: Submit Aetna's Givlaari precertification form with biochemical confirmation (elevated ALA/PBG levels), documented attack history (≥2 qualifying attacks in 6-12 months), and specialist evaluation. If denied, file internal appeal within 180 days, then

Myths vs. Facts: Getting Givlaari (givosiran) Covered by Blue Cross Blue Shield in North Carolina

Answer Box: Givlaari Coverage by BCBS North Carolina Eligibility: Adults 18+ with confirmed acute hepatic porphyria, documented elevated ALA/PBG levels, and at least 2 attacks requiring hospitalization/urgent care in past 6 months. Fastest approval path: Specialist prescriber (hepatologist, hematologist, neurologist) submits complete documentation including attack history, biochemical proof,

Coding That Helps Get Givlaari (Givosiran) Approved by Cigna in Georgia: Complete ICD-10, HCPCS, and NDC Guide

Answer Box: Getting Givlaari (Givosiran) Covered by Cigna in Georgia Fastest Path to Approval: Givlaari requires prior authorization through Cigna's medical benefit using HCPCS code J0223 and ICD-10 code E80.21 (acute intermittent hepatic porphyria). Submit documentation showing elevated ALA/PBG levels and ≥2 attacks in 6 months

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

Quick Answer: Getting Givlaari (givosiran) Covered by Aetna (CVS Health) in Texas Givlaari requires prior authorization from Aetna (CVS Health) in Texas. You'll need documented acute hepatic porphyria with elevated ALA/PBG levels, evidence of ≥2 qualifying attacks in 6 months or hemin use, and specialist involvement. Submit

How to Get Givlaari (givosiran) Covered by Blue Cross Blue Shield in Virginia: Complete Appeals Guide

Answer Box: Getting Givlaari Covered in Virginia Fastest path to approval: Ensure your specialist documents at least 2 acute hepatic porphyria attacks in the past 6 months with elevated ALA/PBG levels, submit prior authorization through the BCBS Virginia provider portal with complete attack history and genetic testing results, and

How to Get Givlaari (givosiran) Covered by Aetna CVS Health in Pennsylvania: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Givlaari Covered by Aetna CVS Health in Pennsylvania Yes, Givlaari (givosiran) can be covered by Aetna CVS Health in Pennsylvania, but requires prior authorization. Submit your PA request through Availity.com with complete AHP documentation including elevated ALA/PBG levels and attack history. If denied, Pennsylvania'

How to Get Givlaari (givosiran) Covered by Aetna (CVS Health) in Illinois: Prior Authorization Guide and Appeal Process

Answer Box: Getting Givlaari Covered by Aetna in Illinois Aetna (CVS Health) requires prior authorization for Givlaari (givosiran) with documentation of at least 4 acute hepatic porphyria attacks per year and elevated urine ALA/PBG levels. Submit requests via phone (855-582-2025), fax (855-330-1716), or mail to Aetna PA, 1300 E.