Topic

Juxtapid (lomitapide)

A collection of 28 issues

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)

How to Get Juxtapid (Lomitapide) Covered by Florida Blue Cross Blue Shield: PA Forms, Appeals & Success Tips

Answer Box: Getting Juxtapid Covered by Florida Blue Juxtapid (lomitapide) requires prior authorization from Florida Blue and is typically placed on Tier 6 (Non-Preferred Specialty). To get approval: 1) Your doctor must submit genetic testing confirming homozygous familial hypercholesterolemia (HoFH) with bi-allelic pathogenic variants, 2) Document failed trials of PCSK9

How to Get Juxtapid (lomitapide) Covered by UnitedHealthcare in New Jersey: Complete Guide with Forms and Appeals

Answer Box: Getting Juxtapid Covered by UnitedHealthcare in New Jersey Juxtapid (lomitapide) requires prior authorization from UnitedHealthcare for homozygous familial hypercholesterolemia (HoFH). First, confirm your diagnosis with genetic testing documentation. Submit the UnitedHealthcare prior authorization form through their provider portal, including proof you've tried other HoFH treatments first.