Topic

Juxtapid (lomitapide)

A collection of 28 issues

How to Get Juxtapid (lomitapide) Covered by Cigna in Georgia: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Juxtapid (lomitapide) Covered by Cigna in Georgia Eligibility: Cigna covers Juxtapid (lomitapide) for adults with homozygous familial hypercholesterolemia (HoFH) who've failed maximally tolerated statin + ezetimibe + PCSK9 inhibitor therapy, with LDL-C >70 mg/dL (ASCVD) or >100 mg/dL (no ASCVD). Fastest path: (1)

Coding That Helps Get Juxtapid (lomitapide) Approved by Cigna in Michigan: ICD-10, HCPCS, and NDC Guide

Answer Box: Getting Juxtapid (lomitapide) Coded Correctly for Cigna Coverage in Michigan Juxtapid (lomitapide) requires precise coding to avoid Cigna denials in Michigan. Use ICD-10 code E78.010 (homozygous familial hypercholesterolemia) effective 2025, HCPCS code J8499 (oral non-chemotherapeutic drug, NOS), and verify NDC numbers for specific capsule strengths through the

How to Get Juxtapid (lomitapide) Covered by Humana in Washington: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Juxtapid (lomitapide) Covered by Humana in Washington Fastest path to approval: Submit prior authorization through Humana's electronic PA portal with genetic confirmation of HoFH, documented failure of maximally tolerated standard lipid-lowering therapy, and baseline liver function tests. If denied, file internal appeal within 65 days,

How to Get Juxtapid (Lomitapide) Covered by UnitedHealthcare in Georgia: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Juxtapid Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Juxtapid (lomitapide) with strict criteria for homozygous familial hypercholesterolemia (HoFH). You'll need genetic confirmation or untreated LDL-C >400 mg/dL, documented failure of PCSK9 inhibitors and other lipid-lowering therapies, and a specialist prescriber.

How to Get Juxtapid (lomitapide) Covered by Aetna (CVS Health) in Ohio: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Juxtapid (lomitapide) Covered by Aetna (CVS Health) in Ohio Aetna (CVS Health) requires prior authorization for Juxtapid (lomitapide) with documented homozygous familial hypercholesterolemia (HoFH) diagnosis and evidence of failure or intolerance to preferred therapies. First step today: Gather genetic testing results or clinical HoFH documentation, baseline LDL-C

How to Get Juxtapid (lomitapide) Covered by Aetna (CVS Health) in Virginia: Prior Authorization Forms, Appeal Timeline & REMS Requirements

Quick Answer: Fastest Path to Approval Getting Juxtapid (lomitapide) covered by Aetna (CVS Health) in Virginia requires three critical steps: 1) Confirm homozygous familial hypercholesterolemia (HoFH) diagnosis with genetic testing or clinical criteria, 2) Document failure of high-intensity statin + ezetimibe + PCSK9 inhibitor therapy with LDL-C still ≥100 mg/dL, and

The Requirements Checklist to Get Juxtapid (lomitapide) Covered by Blue Cross Blue Shield in North Carolina

Answer Box: Getting Juxtapid Covered in North Carolina Juxtapid (lomitapide) requires prior authorization from Blue Cross Blue Shield in North Carolina. Success depends on documenting homozygous familial hypercholesterolemia (HoFH) diagnosis, step therapy failures, and liver monitoring plans per FDA REMS requirements. First step: contact your prescriber to initiate prior authorization

How to Get Juxtapid (lomitapide) Covered by Blue Shield of California: Forms, Appeals, and Authorization Guide 2025

Answer Box: Getting Juxtapid Covered by Blue Shield of California Juxtapid (lomitapide) requires prior authorization from Blue Shield of California for homozygous familial hypercholesterolemia (HoFH). The fastest path: (1) Confirm genetic/clinical HoFH diagnosis with LDL-C ≥400 mg/dL or total cholesterol >500 mg/dL, (2) Document failed trials

If Juxtapid (lomitapide) Isn't Approved by Cigna in Texas: Formulary Alternatives & Exception Paths

Quick Answer: Your Options When Cigna Denies Juxtapid (lomitapide) in Texas If Cigna denies Juxtapid (lomitapide) for homozygous familial hypercholesterolemia (HoFH), you have three main paths: try formulary alternatives first (like PCSK9 inhibitors), request a formulary exception with strong medical necessity documentation, or appeal the denial through Texas's

How to Get Juxtapid (lomitapide) Covered by Aetna (CVS Health) in Michigan: Complete Guide to Forms, Appeals, and Approval

Answer Box: Get Juxtapid (lomitapide) Covered by Aetna (CVS Health) in Michigan Fast Track to Approval: Aetna (CVS Health) requires prior authorization for Juxtapid (lomitapide) with documented homozygous familial hypercholesterolemia (HoFH), genetic testing, and failed trials of high-intensity statin + ezetimibe + PCSK9 inhibitor. First step today: Have your doctor gather genetic