Topic

Kesimpta (ofatumumab)

A collection of 2 issues

Getting Kesimpta (Ofatumumab) Covered by Blue Cross Blue Shield of North Carolina: Complete Prior Authorization and Appeal Guide

Quick Answer: Kesimpta requires prior authorization from Blue Cross Blue Shield of North Carolina and is typically placed in Tier 5 (specialty). Your doctor must document relapsing MS diagnosis, prior treatment failures, and complete HBV screening. If denied, you can appeal internally, then through North Carolina's Smart NC

How to Get Kesimpta (Ofatumumab) Covered by Cigna in Michigan: Forms, Appeals, and Approval Scripts

Answer Box: Getting Kesimpta Covered by Cigna in Michigan Kesimpta (ofatumumab) is on Cigna's formulary but requires prior authorization and may need step therapy. To get approved: 1) Have your neurologist submit a PA request with MS diagnosis, prior therapy failures, and clinical notes to Cigna/Express Scripts,