Getting Naglazyme (Galsulfase) Covered by Aetna in Pennsylvania: Coding, Appeals, and Authorization Guide
Quick Answer: Getting Naglazyme Covered by Aetna in Pennsylvania
Naglazyme (galsulfase) for MPS VI requires prior authorization from Aetna with specific documentation: confirmed diagnosis via enzyme assay or genetic testing, baseline functional assessments (like six-minute walk tests), and specialist involvement. Bill using HCPCS J1458 under the medical benefit at 1