Topic

Hemgenix (etranacogene dezaparvovec)

A collection of 2 issues

How to Get Hemgenix (Etranacogene Dezaparvovec) Covered by Humana in Florida: Appeals, Forms & Renewal Guide

Quick Answer: Getting Hemgenix Covered by Humana in Florida Hemgenix (etranacogene dezaparvovec) requires prior authorization from Humana in Florida. The fastest path: Have your hematologist submit a comprehensive PA request including Factor IX levels, bleeding history, failed prophylaxis documentation, and a detailed monitoring plan. If denied, you have 65 days

Renewing Hemgenix Coverage with Blue Cross Blue Shield in California: Annual Requirements and Timeline

Answer Box: Blue Shield of California requires annual reauthorization for Hemgenix (etranacogene dezaparvovec) gene therapy. Start renewal 60-90 days before your authorization expires. Submit updated clinical documentation showing ongoing eligibility, Factor IX levels, bleeding episodes, liver function tests, and provider attestation through Blue Shield's AuthAccel portal or designated