Topic

New York

A collection of 237 issues

How to Get Filsuvez (Birch Triterpenes Topical Gel) Covered by Blue Cross Blue Shield in New York: Decision Tree & Appeal Guide

Answer Box: Getting Filsuvez Covered by Blue Cross Blue Shield in New York Quick Answer: Filsuvez requires prior authorization from Blue Cross Blue Shield for epidermolysis bullosa (EB) patients ≥6 months old. First step: Confirm your EB subtype (dystrophic or junctional) through genetic testing and gather documentation of wound care

How to Get Ruconest Approved by Humana in New York: Timeline, Appeals, and Success Strategies

Answer Box: Getting Ruconest Covered by Humana in New York Timeline: 7 days for standard prior authorization (PA) decisions, 24-72 hours for expedited requests. Key requirement: Step therapy documentation showing why alternatives like icatibant aren't suitable. First step: Have your prescriber submit PA through Humana's electronic

Coding That Helps Get Opsumit (macitentan) Approved in New York with Blue Cross Blue Shield (ICD-10, HCPCS/J-Code, NDC)

Answer Box: Getting Opsumit Approved with Blue Cross Blue Shield in New York Fastest path to approval: Use ICD-10 code I27.0 (primary PAH) or I27.21 (secondary PAH), document NYHA functional class II-III, and ensure pregnancy testing compliance per current FDA labeling (REMS discontinued April 2025). Submit via electronic

Get Thiola / Thiola EC (Tiopronin) Covered by Blue Cross Blue Shield in New York: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Thiola Covered in New York To get Thiola (tiopronin) covered by Blue Cross Blue Shield in New York, you need: (1) confirmed cystinuria diagnosis with urine cystine >500 mg/day, (2) documented failure of conservative therapy (hydration, alkalinization, dietary changes), and (3) specialist prescription from nephrologist/

How to Get Filsuvez (Birch Triterpenes Gel) Covered by Cigna in New York: Complete Cost & Appeals Guide 2025

Answer Box: Getting Filsuvez Covered by Cigna in New York Filsuvez (birch triterpenes gel) requires prior authorization from Cigna and isn't on standard formularies. Three-step path: (1) Your doctor submits a PA with EB diagnosis confirmation and prior therapy documentation to Cigna at 1-800-882-4462, (2) If denied, file

How to Get Helixate (Antihemophilic Factor VIII) Covered by Cigna in New York: Coding, Appeals, and State Resources

Answer Box: Getting Helixate Covered by Cigna in New York Important Update: Helixate FS and Kogenate FS are discontinued in the United States as of 2022-2023. Cigna no longer covers these products on their formulary. Your fastest path to coverage: Work with your hemophilia treatment center to transition to a

How to Get Imbruvica (Ibrutinib) Covered by Cigna in New York: Prior Authorization Guide and Appeal Strategies

Quick Answer: Cigna requires prior authorization for Imbruvica (ibrutinib) in New York, typically placing it on Tier 4-5 with step therapy requirements for preferred BTK inhibitors first. Submit PA through Express Scripts/Accredo with complete diagnostic documentation. If denied, you have 180 days for internal appeals, then 4 months for

UnitedHealthcare's Coverage Criteria for Myozyme (Alglucosidase Alfa) in New York: What Counts as "Medically Necessary"?

Answer Box: Getting Myozyme Covered by UnitedHealthcare in New York To get Myozyme (alglucosidase alfa) approved by UnitedHealthcare in New York, you need: confirmed Pompe disease diagnosis (genetic testing + enzyme deficiency), specialist evaluation by a neurologist or metabolic physician, and prior authorization with comprehensive clinical documentation. If denied, New York&

Work With Your Doctor to Get Palynziq (pegvaliase-pqpz) Approved by UnitedHealthcare in New York

Answer Box: Your Fastest Path to Palynziq Coverage UnitedHealthcare requires prior authorization for Palynziq with mandatory step therapy—you must try sapropterin first or document contraindications. Partner with your PKU specialist to gather blood phenylalanine levels >600 µmol/L, document diet compliance, and complete REMS enrollment. If denied, New

How to Get Trikafta Covered by Humana in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Get Trikafta Covered by Humana in New York Fastest path to approval: Ensure your CF specialist submits a complete prior authorization with documented CFTR genotype (≥1 F508del mutation), baseline liver function tests, and pulmonary function data through Humana's provider portal. If denied, you have 65 days