Topic

Michigan

A collection of 44 issues

How to Get Zolgensma Covered by Aetna CVS Health in Michigan: Complete Appeals Guide with Forms and Deadlines

Answer Box: Getting Zolgensma Covered by Aetna CVS Health in Michigan Fastest path to approval: Submit prior authorization through Aetna's provider portal with genetic confirmation of SMA, age verification (under 2 years), and detailed medical necessity letter. If denied, file internal appeal within 60 days, then request expedited

How Long Does It Take to Get Humira Approved by Blue Cross Blue Shield in Michigan? Complete Timeline & Appeal Guide

Answer Box: Getting Humira Approved by BCBS Michigan Blue Cross Blue Shield of Michigan requires prior authorization for Humira, with decisions typically made within 15 calendar days (72 hours for urgent cases). The fastest path involves: 1) Complete TB/hepatitis B screening, 2) Try preferred biosimilars first (step therapy), and

How to Get Evkeeza (evinacumab-dgnb) Covered by Humana in Michigan: Prior Authorization Forms, Appeal Timelines & Scripts

Quick Answer: Getting Evkeeza Covered by Humana in Michigan Evkeeza (evinacumab-dgnb) requires prior authorization from Humana and is covered under your medical benefit, not pharmacy benefit, since it's given by IV infusion. Your fastest path to approval: 1) Confirm HoFH diagnosis with genetic testing or clinical criteria, 2)

If Zanzalintinib (XL092) Isn't Approved by Blue Cross Blue Shield in Michigan: Clinical Trial Access & Formulary Alternatives

Quick Answer: Getting Zanzalintinib (XL092) Coverage in Michigan Zanzalintinib (XL092) is investigational and not FDA-approved, so Blue Cross Blue Shield of Michigan typically won't cover it outside clinical trials. Your fastest path: 1) Check if you qualify for ongoing STELLAR trials at ClinicalTrials.gov, 2) Request expanded access