Topic

Juxtapid (lomitapide)

A collection of 33 issues

How to Get Juxtapid (Lomitapide) Covered by Aetna CVS Health in Pennsylvania: Complete Prior Authorization Guide

Answer Box: Getting Juxtapid (Lomitapide) Covered by Aetna CVS Health in Pennsylvania Juxtapid (lomitapide) requires prior authorization from Aetna CVS Health for homozygous familial hypercholesterolemia (HoFH) treatment in Pennsylvania. Submit requests through CVS Caremark's ePA portal at Availity.com or fax to 1-866-249-6155. Key requirements: genetic HoFH confirmation,

How to Get Juxtapid (lomitapide) Covered by Humana in Georgia: A Complete Step-by-Step Guide

Answer Box: Getting Juxtapid (lomitapide) Covered by Humana in Georgia Humana requires prior authorization for Juxtapid (lomitapide) with strict criteria: confirmed homozygous familial hypercholesterolemia (HoFH), failure of maximally tolerated statin plus ezetimibe and PCSK9 inhibitor, and specialist prescribing. First step: Gather genetic testing results or clinical HoFH documentation, complete treatment

Myths vs. Facts: Getting Juxtapid (lomitapide) Covered by Blue Cross Blue Shield in Michigan

Answer Box: Juxtapid Coverage with Blue Cross Blue Shield Michigan Myth: If your doctor prescribes Juxtapid, Blue Cross Blue Shield Michigan automatically covers it. Reality: Juxtapid requires prior authorization with strict documentation of homozygous familial hypercholesterolemia (HoFH), failure of first-line treatments, and REMS enrollment. Success depends on comprehensive clinical evidence,

How to Get Juxtapid (Lomitapide) Covered by UnitedHealthcare in Washington: Complete Coverage Guide with Forms and Appeals

Answer Box: UnitedHealthcare requires prior authorization for Juxtapid (lomitapide) in Washington with strict criteria: confirmed HoFH diagnosis (genetic testing or untreated LDL-C >400 mg/dL plus clinical markers), documented failure of both Repatha and Evkeeza, REMS-certified specialist prescriber, and baseline liver function tests. Submit via OptumRx portal with genetic

Work With Your Doctor to Get Juxtapid (lomitapide) Approved by Aetna (CVS Health) in Washington

Answer Box: Getting Juxtapid (lomitapide) Covered by Aetna (CVS Health) in Washington Success requires strong provider partnership and complete documentation. Aetna typically requires genetic confirmation of homozygous familial hypercholesterolemia (HoFH), evidence of failed high-intensity statin plus ezetimibe therapy, baseline liver function tests, and REMS program enrollment. First step today: Schedule

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