Topic

Humana

A collection of 1041 issues

How to Get Darzalex / Darzalex Faspro (daratumumab) Covered by Humana in Illinois: Timeline, Appeals, and Prior Authorization Guide

Answer Box: Getting Darzalex / Darzalex Faspro Approved by Humana in Illinois Humana requires prior authorization for Darzalex/Darzalex Faspro (daratumumab) for multiple myeloma, typically deciding within 7 days for standard requests or 72 hours for expedited cases. Your oncologist submits via Humana's provider portal with diagnosis, prior therapy
5 min read

How to Get Sumavel DosePro (Sumatriptan Injection, Needle-Free) Covered by Humana in Pennsylvania: Complete Prior Authorization Guide

Answer Box: Getting Sumavel DosePro Covered by Humana in Pennsylvania Sumavel DosePro (needle-free sumatriptan injection) was discontinued in the U.S., but generic sumatriptan auto-injectors remain available. For Humana Medicare Advantage/Part D coverage in Pennsylvania: 1) Check if your plan requires prior authorization or step therapy through oral triptans
7 min read

How to Get Enhertu (Fam-Trastuzumab Deruxtecan-nxki) Approved by Humana in Virginia: Timeline, Forms & Appeal Process

Answer Box: Your Path to Enhertu Coverage Getting Enhertu (fam-trastuzumab deruxtecan-nxki) covered by Humana in Virginia requires prior authorization with HER2 testing documentation and medical necessity justification. Standard decisions take 7-14 days; expedited reviews complete within 72 hours if your health is at serious risk. Start by having your oncologist
6 min read

How to Get Adynovate (Antihemophilic Factor) Covered by Humana in Pennsylvania: Prior Authorization, Appeals, and Cost Assistance

Answer Box: Getting Adynovate Covered by Humana in Pennsylvania Adynovate (antihemophilic factor, PEGylated) requires prior authorization from Humana but is listed as a preferred Factor VIII product for hemophilia A treatment. For Medicare Advantage members, submit PA requests through your specialty pharmacy or hemophilia treatment center with diagnosis confirmation, factor
6 min read

Getting Revcovi (Elapegademase) Covered by Humana in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Revcovi (Elapegademase) Covered by Humana in North Carolina To get Revcovi (elapegademase) covered by Humana in North Carolina, you need: confirmed ADA-SCID diagnosis with genetic testing and enzyme levels <1%, specialist evaluation by pediatric immunologist, and documentation of medical necessity. Fastest path: Submit prior authorization through
6 min read