Topic

Lutathera (lutetium Lu-177 dotatate)

A collection of 35 issues

How to Get Lutathera (lutetium Lu-177 dotatate) Covered by Cigna in Virginia: PA Requirements, Appeals, and Success Strategies

Answer Box: Your Fastest Path to Coverage To get Lutathera (lutetium Lu-177 dotatate) covered by Cigna in Virginia: Submit prior authorization with somatostatin receptor-positive imaging, documented progression on somatostatin analogs, and nuclear medicine facility credentials. If denied, file internal appeal within 180 days, then Virginia external review using Form 216-A

Renewing Lutathera (Lutetium Lu-177 Dotatate) Approval with Humana in Illinois: Complete Timeline and Documentation Guide

Answer Box: Renewing Lutathera Coverage with Humana in Illinois Quick Answer: Lutathera requires prior authorization renewal before each treatment cycle (every 8 weeks). Submit renewal requests 30 days before your next scheduled infusion with updated SSTR imaging, treatment response documentation, and continued medical necessity evidence. If denied, you have 65

Getting Lutathera (Lutetium Lu-177 Dotatate) Covered by Humana in North Carolina: Complete Appeal Guide with Forms and Timelines

Answer Box: Your Fastest Path to Coverage Getting Lutathera covered by Humana in North Carolina requires: SSTR-positive imaging (Ga-68 DOTATATE PET/CT preferred), pathology confirming well-differentiated NET, and documented progression despite somatostatin analog therapy. Start today by: requesting your complete medical records and SSTR imaging reports from your oncologist. Timeline:

Get Lutathera (Lutetium Lu-177 Dotatate) Covered by Humana in Washington: Prior Authorization Guide & Appeal Process

Answer Box: Getting Lutathera Covered by Humana in Washington Lutathera (lutetium Lu-177 dotatate) is covered by Humana Medicare Advantage plans but requires prior authorization. To get approval in Washington: 1) Have your oncologist submit a PA request with SSTR-positive imaging and prior somatostatin analog documentation, 2) If denied, file an

Getting Lutathera Covered by UnitedHealthcare in Georgia: Prior Authorization Forms, Appeal Process, and Timeline Guide

Answer Box: Your Path to Lutathera Coverage To get Lutathera covered by UnitedHealthcare in Georgia: Submit prior authorization through your oncologist with SSTR-positive imaging (Ga-68 DOTATATE PET scan), documented GEP-NET diagnosis, and evidence of somatostatin analog use. If denied, file internal appeal within 180 days, then Georgia external review within

Getting Lutathera Covered by Cigna in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Quick Path to Approval Lutathera (lutetium Lu-177 dotatate) requires prior authorization from Cigna in New York. Your oncologist must document SSTR-positive imaging, well-differentiated neuroendocrine tumor pathology, and progression on somatostatin analog therapy. Standard approval takes 72 hours; expedited review takes 24 hours for urgent cases. If denied, you

How to Get Lutathera Approved by Blue Cross Blue Shield in Ohio: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Lutathera Covered in Ohio Lutathera requires prior authorization from Blue Cross Blue Shield in Ohio. Your fastest path to approval: (1) Confirm SSTR-positive imaging and documented progression on somatostatin analogs, (2) Submit complete PA request via Anthem provider portal with all clinical documentation, and (3) Allow 5-10

Renewing Lutathera Coverage with Cigna in New Jersey: Annual Requirements, Documentation, and Appeal Process

Answer Box: Lutathera renewal with Cigna requires annual reauthorization with comprehensive clinical documentation showing continued response and no disease progression. Submit renewal requests 30-45 days before your current authorization expires. Include updated imaging reports, lab results, oncologist notes, and confirmation you haven't exceeded the 4-dose lifetime limit. If

How to Get Lutathera (Lutetium Lu-177 Dotatate) Covered by UnitedHealthcare in California: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Lutathera Covered by UnitedHealthcare in California UnitedHealthcare requires prior authorization for Lutathera (lutetium Lu-177 dotatate) with step therapy documentation showing progression on somatostatin analogs. The fastest path to approval involves: 1. Submit PA request through the UnitedHealthcare Provider Portal with SSTR-positive imaging (Ga-68 DOTATATE PET/CT), pathology

How to Get Lutathera Covered by Aetna CVS Health in Illinois: Complete Prior Authorization Guide

Answer Box: Lutathera (lutetium Lu-177 dotatate) is covered by Aetna CVS Health in Illinois under the medical benefit with mandatory prior authorization. You'll need: confirmed somatostatin receptor-positive neuroendocrine tumor, documented failure of octreotide/lanreotide, and SSTR imaging results. Submit precertification 2+ weeks before treatment through Aetna's