Topic

Juxtapid (lomitapide)

A collection of 28 issues

Complete Guide to Getting Juxtapid (Lomitapide) Covered by Cigna in California: Forms, Appeals, and Step Therapy Overrides

Answer Box: Getting Juxtapid (Lomitapide) Covered by Cigna in California Eligibility: Patients with confirmed homozygous familial hypercholesterolemia (HoFH) who've failed maximum statins, ezetimibe, and PCSK9 inhibitors can get Juxtapid covered through Cigna's Express Scripts pharmacy benefit. Fastest path: Submit prior authorization with genetic testing, step therapy
6 min read

How to Get Juxtapid (lomitapide) Covered by Blue Cross Blue Shield in New Jersey: Complete Prior Authorization Guide

Answer Box: Getting Juxtapid Covered by Blue Cross Blue Shield in New Jersey Juxtapid (lomitapide) requires prior authorization from Blue Cross Blue Shield in New Jersey for homozygous familial hypercholesterolemia (HoFH). Success requires genetic or clinical HoFH confirmation, documented failure of Repatha and Evkeeza, specialist prescriber, REMS program enrollment, and
6 min read

Lowering Out-of-Pocket Costs for Juxtapid (lomitapide) with Aetna (CVS Health) in North Carolina: Copay Cards, Tiering Exceptions & Appeal Scripts

Quick Answer: Reducing Juxtapid Costs with Aetna in North Carolina Eligibility: Juxtapid (lomitapide) requires prior authorization from Aetna for homozygous familial hypercholesterolemia (HoFH). Commercial insurance patients may qualify for Chiesi's copay card covering 100% of out-of-pocket costs up to program limits. Fastest path: (1) Confirm HoFH diagnosis with
6 min read

Denied for Juxtapid (Lomitapide) by UnitedHealthcare in Virginia? Your Complete Appeal Guide

Answer Box: Getting Juxtapid Covered by UnitedHealthcare in Virginia UnitedHealthcare requires prior authorization for Juxtapid (lomitapide) with strict HoFH documentation and step therapy requirements. Virginia residents have strong appeal rights through the State Corporation Commission Bureau of Insurance. Your fastest path: 1) Submit complete PA with genetic testing and specialist
6 min read

How to Get Juxtapid (Lomitapide) Covered by Humana in North Carolina: Prior Authorization Guide & Appeal Process

Quick Answer: Juxtapid (Lomitapide) Coverage by Humana in North Carolina Yes, Humana covers Juxtapid (lomitapide) in North Carolina with prior authorization for homozygous familial hypercholesterolemia (HoFH). Key requirements: genetic confirmation of HoFH, documented failure of statins/ezetimibe/PCSK9 inhibitors, REMS program enrollment, and specialist involvement (cardiologist/endocrinologist). First step today:
5 min read

Get Juxtapid (Lomitapide) Covered by Cigna in Virginia: Complete Guide to Prior Authorization, Appeals, and Cost Assistance

Answer Box: Getting Juxtapid Covered by Cigna in Virginia Yes, Cigna covers Juxtapid (lomitapide) in Virginia with prior authorization for homozygous familial hypercholesterolemia (HoFH). The fastest path to approval requires: (1) genetic or clinical HoFH documentation, (2) proof of failed PCSK9 inhibitor therapy, (3) baseline liver function tests, and (4)
5 min read

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
7 min read

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
7 min read

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
5 min read