Topic

Juxtapid (lomitapide)

A collection of 12 issues

How to Get Juxtapid (lomitapide) Covered by Humana in California: Prior Authorization, Appeals, and Cost Assistance

Answer Box: Getting Juxtapid (lomitapide) Covered by Humana in California Juxtapid requires prior authorization from Humana with strict clinical documentation. Key requirements include genetic confirmation of homozygous familial hypercholesterolemia (HoFH), documented failure or intolerance to maximum-dose statins and ezetimibe, enrollment in the REMS program, and dispensing through certified specialty pharmacies

Work With Your Doctor to Get Juxtapid (lomitapide) Approved by UnitedHealthcare in Florida: Provider Collaboration Guide

Quick Answer: Getting Juxtapid Approved Through UnitedHealthcare in Florida Juxtapid (lomitapide) requires strict prior authorization from UnitedHealthcare, including documented failure of Repatha and Evkeeza, REMS program compliance, and specialist prescribing. Your doctor must submit genetic confirmation of homozygous familial hypercholesterolemia (HoFH), baseline liver function tests, and proof of low-fat diet

How to Get Juxtapid (Lomitapide) Covered by Blue Cross Blue Shield in Georgia: Complete Requirements Checklist

Answer Box: Getting Juxtapid Covered by BCBS Georgia Blue Cross Blue Shield in Georgia requires prior authorization for Juxtapid (lomitapide) with strict criteria focused on homozygous familial hypercholesterolemia (HoFH) diagnosis and safety monitoring. Success depends on three key elements: (1) genetic or clinical documentation of HoFH, (2) proof of failed

How to Get Juxtapid (Lomitapide) Covered by UnitedHealthcare in California: Appeals, REMS Requirements, and Step Therapy Overrides

Answer Box: Getting Juxtapid Covered by UnitedHealthcare in California Eligibility: Juxtapid requires prior authorization from UnitedHealthcare for confirmed homozygous familial hypercholesterolemia (HoFH) with genetic testing or LDL-C ≥400 mg/dL, baseline liver function tests, and documented failure/intolerance of other lipid-lowering therapies. Fastest path: Submit prior authorization with HoFH genetic

How to Get Juxtapid (Lomitapide) Covered by UnitedHealthcare in Michigan: Prior Authorization Guide and Appeal Scripts

Answer Box: Getting Juxtapid Covered by UnitedHealthcare in Michigan UnitedHealthcare requires prior authorization for Juxtapid (lomitapide) with strict step therapy requirements. You must first fail or be unable to tolerate both Repatha (evolocumab) and Evkeeza (evinacumab) before approval. Your first step today: Have your cardiologist, endocrinologist, or lipid specialist submit

How to Get Juxtapid (Lomitapide) Approved by Cigna in New Jersey: 2025 Rules, Appeals, and Step Therapy Overrides

Answer Box: Fast Track to Juxtapid Coverage Getting Juxtapid (lomitapide) approved by Cigna in New Jersey requires genetic/phenotypic HoFH documentation and step therapy compliance. New Jersey's 2025 laws mandate 72-hour decisions for standard requests (24 hours urgent). If denied, you have 180 days for internal appeals, then

How to Get Juxtapid (lomitapide) Covered by Blue Cross Blue Shield of Illinois: ICD-10 Codes, Prior Authorization Forms, and Appeals Process

Answer Box: Getting Juxtapid Covered by BCBS Illinois Blue Cross Blue Shield of Illinois requires prior authorization for Juxtapid (lomitapide), typically approving only patients with confirmed homozygous familial hypercholesterolemia (HoFH). The fastest path: (1) Document HoFH diagnosis with ICD-10 code E78.01 and genetic/clinical confirmation, (2) Submit prior authorization

How to Get Juxtapid (Lomitapide) Covered by Aetna CVS Health in New Jersey: Prior Authorization, Appeals, and State Protections

Answer Box: Getting Juxtapid Covered by Aetna CVS Health in New Jersey Juxtapid (lomitapide) requires prior authorization from Aetna CVS Health for homozygous familial hypercholesterolemia (HoFH). Key requirements: genetic HoFH diagnosis, failed trials of high-intensity statin + ezetimibe + PCSK9 inhibitor, LDL-C ≥100 mg/dL despite treatment, and REMS program enrollment. First

Myths vs. Facts: Getting Juxtapid (lomitapide) Covered by Humana in Ohio

Answer Box: Getting Juxtapid Covered by Humana in Ohio Myth-busting fact: Your doctor's prescription alone won't guarantee Humana coverage for Juxtapid (lomitapide) in Ohio. Reality: You need prior authorization with specific documentation including HoFH diagnosis confirmation, failed trials of statins/ezetimibe/PCSK9 inhibitors, and REMS program

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

Answer Box: Getting Juxtapid (lomitapide) Covered by Cigna in Ohio Juxtapid requires prior authorization from Cigna and is only covered for homozygous familial hypercholesterolemia (HoFH). Your fastest path to approval: (1) Confirm HoFH diagnosis with genetic/clinical documentation, (2) Document failure or intolerance to PCSK9 inhibitors like Repatha, and (3)