Topic

Koselugo (selumetinib)

A collection of 33 issues

Renewing Koselugo (Selumetinib) Coverage with Aetna CVS Health in Virginia: 2025 Requirements & Timeline

Answer Box: Renewing Koselugo Coverage with Aetna CVS Health in Virginia To renew Koselugo (selumetinib) coverage with Aetna CVS Health in Virginia, submit your prior authorization renewal 2-4 weeks before your current approval expires. You'll need updated clinical documentation showing continued benefit, current LVEF monitoring results, ophthalmologic evaluations,

How to Get Koselugo (Selumetinib) Covered by UnitedHealthcare in New York: Prior Authorization Forms, Appeal Scripts & Timelines

Answer Box: Fast Track to Koselugo Coverage in New York For pediatric patients under 19 with NF1 and plexiform neurofibromas, UnitedHealthcare typically auto-approves Koselugo (selumetinib) based on age alone. If denied, you have strong appeal rights in New York through the Department of Financial Services external review process. First step

Myths vs. Facts: Getting Koselugo (Selumetinib) Covered by Blue Cross Blue Shield in Michigan - Appeals Guide 2025

Answer Box: Getting Koselugo Covered in Michigan Eligibility: Blue Cross Blue Shield of Michigan covers Koselugo for pediatric patients (ages 2-18) with NF1 and symptomatic, inoperable plexiform neurofibromas requiring prior authorization. Fastest Path: Submit complete PA with baseline LVEF (echocardiogram), ophthalmologic exam, NF1 diagnosis confirmation, and tumor imaging showing inoperability.