How to Get Kymriah (tisagenlecleucel) Covered by UnitedHealthcare in New Jersey: Appeals Guide with Templates
Answer Box: Getting Kymriah Covered by UnitedHealthcare in New Jersey
Kymriah requires prior authorization from UnitedHealthcare/OptumRx. If denied, you have strong appeal options in New Jersey through internal reviews and the state's Independent Health Care Appeals Program (IHCAP). First step today: Contact your oncologist to request prior