Topic

Haegarda (C1-esterase inhibitor, SC)

A collection of 28 issues

Work With Your Doctor to Get Haegarda (C1-esterase inhibitor, SC) Approved by Aetna (CVS Health) in Pennsylvania: Complete Provider Collaboration Guide

Quick Answer: Getting Haegarda Approved by Aetna CVS Health in Pennsylvania Eligibility: Confirmed HAE diagnosis with C1-INH deficiency, age ≥6 years, prescribed by specialist (allergist/immunologist). Fastest path: Schedule specialist visit to document attack frequency, complete Aetna's precertification form with lab results, and submit medical necessity letter. First
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Work With Your Doctor to Get Haegarda Covered by UnitedHealthcare in New Jersey: Provider Partnership Guide

Answer Box: Getting Haegarda Covered by UnitedHealthcare in New Jersey UnitedHealthcare requires prior authorization for Haegarda (C1-esterase inhibitor, SC) with strict documentation requirements. Success depends on partnering with an immunologist or allergist who can demonstrate confirmed HAE diagnosis, attack frequency justifying prophylaxis, and failure of preferred alternatives. In New Jersey,
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How to Get Haegarda (C1-esterase inhibitor, SC) Covered by Aetna (CVS Health) in New Jersey: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Haegarda Covered by Aetna (CVS Health) in New Jersey Haegarda requires prior authorization from Aetna (CVS Health) in New Jersey. Your fastest path: 1) Have your HAE specialist complete Aetna's precertification form with HAE diagnosis confirmation (C1-INH deficiency labs), attack frequency documentation, and any prior
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How Long Does It Take to Get Haegarda Approved by Blue Cross Blue Shield in California? Timeline & Milestones

Answer Box: Getting Haegarda Approved in California Getting Haegarda (C1-esterase inhibitor, SC) approved by Blue Cross Blue Shield California typically takes 5-15 business days for initial review, plus 1-3 days for pre-submission preparation. The fastest path requires complete HAE diagnosis documentation (C1-INH levels, C4 levels, attack history) submitted through Blue
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Coding That Helps Get Haegarda Covered by UnitedHealthcare in Texas: ICD-10, J-Code, and NDC Requirements

Answer Box: Getting Haegarda Covered by UnitedHealthcare in Texas Fastest Path: Submit prior authorization with ICD-10 code D84.1 (hereditary angioedema), specialist documentation, and lab evidence of C1-INH deficiency. Use J-code J0599 for billing (10 units per code). UnitedHealthcare requires specialist prescriber and confirmed HAE diagnosis—no absolute step therapy
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