Topic

Humana

A collection of 1100 issues

Work With Your Doctor to Get Ofev (Nintedanib) Covered by Humana in New Jersey: Complete Guide

Answer Box: Get Ofev (Nintedanib) Covered by Humana in New Jersey Ofev requires prior authorization from Humana Medicare Advantage plans. Success depends on your pulmonologist providing specific documentation: confirmed IPF diagnosis via HRCT, recent PFTs showing FVC ≥40% predicted, and a detailed medical necessity letter. If denied, you have 65

How to Get Pemazyre (pemigatinib) Covered by Humana in North Carolina: Complete Guide to Prior Authorization, Appeals, and Approval

Answer Box: Fastest Path to Pemazyre Coverage Pemazyre (pemigatinib) requires prior authorization from Humana in North Carolina. You'll need documented FGFR2 fusion/rearrangement testing, baseline ophthalmologic monitoring plan, and proof of prior systemic therapy failure. Submit complete documentation through Humana's provider portal for 72-hour standard review.

Getting Brensocatib (BRINSUPRI) Covered by Humana in Georgia: Complete Prior Authorization and Appeals Guide

Answer Box: To get Brensocatib (BRINSUPRI) covered by Humana in Georgia, you'll need prior authorization with documented failure of macrolide antibiotics and airway clearance therapies. Submit Humana's PA form with ICD-10 code J47.1 (bronchiectasis with exacerbation), NDC 71558-002, and clinical notes showing medical necessity. If

How to Renew Alecensa (alectinib) Coverage with Humana in Virginia: Timeline, Documentation, and Appeals Process

Answer Box: Renewing Alecensa (alectinib) with Humana in Virginia Renewal timing: Start 30-60 days before your current authorization expires. Required documents: Updated oncologist letter showing stable disease/response, recent imaging, liver function tests, and continued ALK-positive status confirmation. Timeline: Humana provides decisions within 72 hours (24 hours if expedited). First

Work With Your Doctor to Get Orfadin (Nitisinone) Covered by Humana in Illinois: Complete Provider Partnership Guide

Answer Box: Getting Orfadin (Nitisinone) Covered by Humana in Illinois Fast Track to Approval: Humana requires prior authorization for Orfadin (nitisinone) with decisions within 72 hours. Your doctor must submit biochemical proof of hereditary tyrosinemia type 1 (elevated succinylacetone levels), genetic testing results when available, and a dietary management plan

How to Get Ibrance (Palbociclib) Covered by Humana in Virginia: Prior Authorization Guide and Appeals Process

Quick Answer: Getting Ibrance (Palbociclib) Covered by Humana in Virginia Humana requires prior authorization for Ibrance (palbociclib) with documentation of HR+/HER2- metastatic breast cancer, pathology reports, and combination therapy. If denied, you have 65 days to appeal through Humana's internal process, then 120 days for Virginia'

Work With Your Doctor to Get Cresemba (Isavuconazole) Approved by Humana in Michigan: Complete Provider Collaboration Guide

Answer Box: Getting Cresemba Approved by Humana in Michigan To get Cresemba (isavuconazole) covered by Humana in Michigan, you'll need prior authorization with infectious disease specialist involvement and documented failure/intolerance of first-line antifungals like voriconazole. Your doctor must submit clinical evidence including culture results, imaging, and detailed

Getting Tegsedi (Inotersen) Covered by Humana in Illinois: Complete Guide to Prior Authorization and Appeals

Answer Box: Your Fastest Path to Tegsedi Coverage To get Tegsedi (inotersen) covered by Humana in Illinois: First, ensure you and your prescriber are enrolled in the mandatory REMS program at tegsedirems.com. Submit a formulary exception request with genetic testing confirming TTR mutation, detailed neurological documentation, and a comprehensive

Get Dupixent (dupilumab) Covered by Humana in Michigan: Complete Coding & Appeals Guide

Answer Box: Fastest Path to Dupixent Coverage with Humana in Michigan Dupixent (dupilumab) requires prior authorization from Humana Medicare plans in Michigan, with step therapy documentation and medical necessity letters typically needed. Most approvals take 14-30 days, but expedited reviews are available within 72 hours with prescriber certification. If denied,

How to Get Blenrep (Belantamab Mafodotin) Covered by Humana in New York: Complete Appeal Guide with Forms and Timelines

Answer Box: Getting Blenrep Covered by Humana in New York Current Status: Blenrep (belantamab mafodotin) was re-approved by the FDA on October 23, 2025, for relapsed/refractory multiple myeloma. Most denials occur because the drug requires REMS enrollment and specialty handling. Fastest Path to Approval: 1. Submit Humana's