Topic

Nourianz (istradefylline)

A collection of 31 issues

How to Get Nourianz (Istradefylline) Covered by Blue Cross Blue Shield of Texas: Prior Authorization, Appeals, and State Protections

Quick Answer: Getting Nourianz Covered in Texas Blue Cross Blue Shield of Texas requires prior authorization for Nourianz (istradefylline), typically with step therapy requirements. Submit your PA request through Availity or call the number on your ID card. If denied, you have 180 days to file an internal appeal, followed

Myths vs. Facts: Getting Nourianz (istradefylline) Covered by UnitedHealthcare in Michigan

Answer Box: Getting Nourianz Covered by UnitedHealthcare in Michigan UnitedHealthcare requires prior authorization for Nourianz (istradefylline), including documentation of Parkinson's disease, concurrent levodopa/carbidopa use, and failure of two different adjunctive therapy classes. Michigan residents have 127 days after final denial to file external review with DIFS. First

How to Get Nourianz (istradefylline) Covered by Humana in Pennsylvania: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Nourianz (istradefylline) Covered by Humana in Pennsylvania Nourianz requires prior authorization from Humana Medicare Advantage and Part D plans in Pennsylvania. The fastest path to approval: (1) Ensure your neurologist documents stable carbidopa/levodopa therapy with OFF episodes using ICD-10 code G20.A2 or G20.B2, (2)

How to Renew Nourianz (Istradefylline) Coverage with Blue Cross Blue Shield in Ohio: Annual Requirements and Timeline

Answer Box: Blue Cross Blue Shield plans in Ohio typically require annual prior authorization renewal for Nourianz (istradefylline), with reapproval depending on documented continued benefit and ongoing use with carbidopa/levodopa. Start the renewal process 30-60 days before expiration by scheduling a follow-up visit to document objective response (reduced "

How to Get Nourianz (istradefylline) Covered by Humana in Michigan: Complete PA Guide with Appeals Process

Answer Box: Getting Nourianz Covered by Humana in Michigan Nourianz (istradefylline) requires prior authorization from Humana Medicare plans in Michigan. Most approvals require: confirmed Parkinson's diagnosis (ICD-10 G20.A2/G20.B2), stable carbidopa/levodopa therapy for ≥1 year, and documented ≥2 hours daily OFF episodes. Submit via Humana&

How to Get Nourianz (istradefylline) Covered by Aetna CVS Health in California: Prior Authorization Forms, Timelines, and State Appeal Rights

Answer Box: Getting Nourianz Covered by Aetna CVS Health in California Nourianz (istradefylline) requires prior authorization from Aetna CVS Health for Parkinson's disease OFF episodes. To get approved in California: (1) Submit PA form via Availity portal with documented OFF episodes ≥2 hours/day, concurrent levodopa/carbidopa use,

Myths vs. Facts: Getting Nourianz (istradefylline) Covered by Aetna (CVS Health) in Illinois

Answer Box: Getting Nourianz Covered by Aetna in Illinois Myth: A doctor's prescription guarantees coverage. Fact: Nourianz requires prior authorization from Aetna (CVS Health), typically involving step therapy with MAO-B inhibitors and COMT inhibitors first. If denied, Illinois law gives you strong appeal rights including external review by

How to Get Nourianz (Istradefylline) Approved by Aetna CVS Health in Pennsylvania: Step-by-Step Prior Authorization Guide

Answer Box: Getting Nourianz (Istradefylline) Approved by Aetna CVS Health in Pennsylvania Aetna CVS Health requires prior authorization for Nourianz (istradefylline) with step therapy requirements in Pennsylvania. You'll need documented failure of amantadine, MAO-B inhibitors (like rasagiline), or COMT inhibitors (like entacapone), plus proof of 3+ hours daily

How to Get Nourianz (Istradefylline) Covered by Aetna CVS Health in Virginia: Complete Appeals Guide

Quick Answer: To get Nourianz (istradefylline) covered by Aetna CVS Health in Virginia, you'll need prior authorization with documented OFF episodes, failed trials of amantadine or MAO-B/COMT inhibitors, and neurologist prescription. If denied, Virginia's Bureau of Insurance offers free external review using Form 216-A within

How to Get Nourianz (Istradefylline) Covered by Humana in Illinois: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Nourianz Covered by Humana in Illinois Humana Medicare Advantage and Part D plans require prior authorization for Nourianz (istradefylline) in Illinois. Most approvals require documented failure of step therapy (MAO-B inhibitor + COMT inhibitor) and clear OFF-episode documentation. Your fastest path: 1) Verify PA requirements using Humana'