Topic

Koselugo (selumetinib)

A collection of 29 issues

The Requirements Checklist to Get Koselugo (Selumetinib) Covered by Cigna in Michigan: Forms, Appeals, and Clinical Criteria

Answer Box: Quick Path to Koselugo Coverage Cigna requires prior authorization (PA) for Koselugo (selumetinib) in pediatric NF1 patients with symptomatic, inoperable plexiform neurofibromas. Initial approvals last 1 year with reauthorization requiring evidence of benefit. Key requirements: confirmed NF1 diagnosis (ICD-10 Q85.01), baseline LVEF evaluation, ophthalmologic exam, and MRI
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Get Koselugo (Selumetinib) Covered by Aetna CVS Health in New York: Complete Guide to Prior Authorization and Appeals

Answer Box: Quick Path to Approval Koselugo (selumetinib) requires prior authorization from Aetna CVS Health for pediatric patients ≥2 years with NF1 and symptomatic, inoperable plexiform neurofibromas. Your prescriber submits the PA with baseline LVEF (echocardiogram) and ophthalmologic evaluation results. Standard decisions take 30-45 days; expedited reviews complete within 72
5 min read

Work With Your Doctor to Get Koselugo (Selumetinib) Approved by UnitedHealthcare in Ohio: Complete Provider Collaboration Guide

Answer Box: Getting Koselugo Covered by UnitedHealthcare in Ohio Koselugo (selumetinib) requires prior authorization from UnitedHealthcare for pediatric patients ≥2 years with NF1 plexiform neurofibromas. Your doctor must submit clinical documentation proving NF1 diagnosis, inoperable symptomatic tumors, and baseline safety evaluations. If denied, you have 180 days for internal appeals,
6 min read

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

Answer Box: Fast Track to Koselugo Coverage Koselugo (selumetinib) requires prior authorization from Humana for pediatric NF1 patients with symptomatic, inoperable plexiform neurofibromas. Your fastest path: Have your specialist submit a complete PA request with NF1 diagnosis confirmation, MRI showing inoperable tumors, baseline cardiac evaluation (LVEF), and comprehensive eye exam.
6 min read

How to Get Koselugo (Selumetinib) Covered by Blue Cross Blue Shield in Georgia: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Koselugo Covered by Blue Cross Blue Shield in Georgia Eligibility: Children ≥1 year with confirmed NF1 and symptomatic, inoperable plexiform neurofibromas. Fastest path: Submit prior authorization with baseline LVEF assessment, ophthalmologic evaluation, and specialist attestation through your provider's BCBS portal. First step today: Contact your
5 min read