Topic

Kalydeco (ivacaftor)

A collection of 16 issues

How to Get Kalydeco (ivacaftor) Covered by Aetna CVS Health in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Get Kalydeco Covered by Aetna CVS Health in New York Aetna CVS Health requires prior authorization for Kalydeco (ivacaftor) based on confirmed CFTR mutation testing and specialist oversight. To get approved in New York: 1. Confirm eligibility: Document responsive CFTR mutation (G551D, R117H, or other FDA-approved variants) with

How Long Does It Take to Get Kalydeco (ivacaftor) Approved by UnitedHealthcare in Michigan? Complete Timeline Guide

Quick Answer: UnitedHealthcare Kalydeco Approval Timeline in Michigan Standard timeline: 3-14 days from complete submission. UnitedHealthcare requires prior authorization for Kalydeco (ivacaftor) with CFTR genetic testing documentation. Fastest path: Submit complete OptumRx PA form with mutation test results through provider portal. Start today: Contact your CF specialist to gather genetic

How to Get Kalydeco (ivacaftor) Covered by Humana in Georgia: Complete Appeals Guide with Forms and Timelines

Quick Answer: Getting Kalydeco (ivacaftor) Covered by Humana in Georgia Kalydeco requires prior authorization from Humana and is covered as a Tier 5 specialty drug. The fastest path to approval: 1) Have your CF specialist submit a prior authorization request with CFTR genotype testing results through Humana's provider

How to Get Kalydeco (ivacaftor) Covered by Aetna (CVS Health) in Georgia: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Kalydeco Covered in Georgia Kalydeco (ivacaftor) requires prior authorization from Aetna (CVS Health) in Georgia. The fastest path to approval: 1) Verify your plan covers specialty drugs through CVS Caremark, 2) Have your CF specialist submit a complete prior authorization with CFTR genetic testing results showing responsive

How to Get Kalydeco (ivacaftor) Covered by Humana in Florida: Complete Appeals Guide with Forms and Timelines

Quick Answer: Getting Kalydeco Covered by Humana in Florida Kalydeco (ivacaftor) requires prior authorization from Humana and is typically placed on Tier 5 (Specialty) with higher cost-sharing. Your cystic fibrosis specialist must submit genetic testing results confirming a responsive CFTR mutation (like G551D or R117H), clinical documentation, and a medical

How to Get Kalydeco (ivacaftor) Covered by Blue Cross Blue Shield in Washington: Costs, Appeals, and Financial Assistance

Quick Answer: Getting Kalydeco (ivacaftor) Covered in Washington Blue Cross Blue Shield (BCBS) plans in Washington require prior authorization for Kalydeco (ivacaftor) with documented CFTR mutation testing. Most plans place it on specialty tiers (Tier 5-6) with costs ranging from $3,500-$8,950 monthly depending on your coverage. First

How to Get Kalydeco (ivacaftor) Covered by Humana in Ohio: Complete Guide with Appeals Process and Forms

Quick Answer: Getting Kalydeco (ivacaftor) Covered by Humana in Ohio Kalydeco requires prior authorization from Humana in Ohio. You need genetic test results showing a responsive CFTR mutation (like G551D or R117H), a prescription from a CF specialist, and complete clinical documentation. The fastest path: 1) Gather your genetic testing

Getting Kalydeco (Ivacaftor) Covered by Cigna in Michigan: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Kalydeco (Ivacaftor) Covered by Cigna in Michigan Eligibility: Patients with cystic fibrosis and documented FDA-approved CFTR mutations responsive to ivacaftor can get Kalydeco covered by Cigna with proper documentation. Fastest Path: 1) Gather CFTR genotype test results and CF diagnosis documentation, 2) Have your CF specialist submit

How Long Does It Take to Get Kalydeco (ivacaftor) Approved by UnitedHealthcare in New York? Complete Timeline & Appeals Guide

Answer Box: Getting Kalydeco Approved by UnitedHealthcare in New York Timeline: 3-14 days for initial decision. UnitedHealthcare must respond to Kalydeco prior authorization requests within 3 business days (non-urgent) or 24 hours (urgent) under New York state law. Most approvals happen within 5-7 days when complete documentation is submitted. Required:

How to Get Kalydeco (Ivacaftor) Covered by Humana in Michigan: Complete Appeals Guide with Forms and Timelines

Quick Answer: Getting Kalydeco Covered by Humana in Michigan Kalydeco (ivacaftor) requires prior authorization from Humana and costs approximately $369,255 annually without coverage. To get approved: (1) Submit PA request with CFTR genetic testing showing responsive mutation (G551D, R117H, etc.), (2) Include specialist documentation from CF center, (3) If