Topic

Illinois

A collection of 426 issues

Renewing Evkeeza (Evinacumab) Approval with Humana in Illinois: Complete Timeline and Documentation Guide

Answer Box: Renewing Evkeeza with Humana in Illinois Evkeeza (evinacumab) renewals with Humana Medicare Advantage require annual prior authorization with updated clinical documentation. Submit renewal requests 30-60 days before current authorization expires. Required documents include: current LDL-C levels, treatment response data, continued HoFH diagnosis confirmation, and evidence of ongoing medical
6 min read

Get Myalept (Metreleptin) Approved by Aetna CVS Health in Illinois: Complete Guide to Prior Authorization, Appeals, and REMS Requirements

Quick Answer: Getting Myalept Covered by Aetna CVS Health in Illinois Yes, Aetna CVS Health covers Myalept (metreleptin) for generalized lipodystrophy with prior authorization. Your endocrinologist must submit documentation of confirmed generalized lipodystrophy, leptin deficiency, metabolic complications, and REMS program enrollment. If denied, you have 180 days to appeal internally,
6 min read

Getting Advate (octocog alfa) Covered by Humana in Illinois: Formulary Alternatives, Prior Authorization & Appeals

Answer Box: Humana Medicare Advantage in Illinois typically requires step therapy before covering Advate (octocog alfa), favoring alternatives like Eloctate, Kovaltry, or Jivi first. Submit a prior authorization request through the Humana provider portal with detailed bleeding logs, factor VIII activity levels, and documentation of treatment failures. If denied, you
7 min read

Getting Pomalyst (Pomalidomide) Approved by Humana in Illinois: Timeline, Appeals & Documentation Guide

Answer Box: Getting Pomalyst (Pomalidomide) Covered by Humana in Illinois Humana requires prior authorization for Pomalyst (pomalidomide) with proof of prior lenalidomide and proteasome inhibitor failure. The fastest path: Your oncologist submits PA documentation through Humana's provider portal with treatment history, REMS enrollment confirmation, and medical necessity letter.
5 min read