Topic

Onpattro (patisiran)

A collection of 16 issues

How to Get Onpattro (Patisiran) Covered by UnitedHealthcare in Texas: Complete Coding and Appeals Guide

Answer Box: Getting Onpattro Covered by UnitedHealthcare in Texas UnitedHealthcare requires prior authorization for Onpattro (patisiran) with strict medical necessity criteria including genetic confirmation of hATTR-PN, neurologist evaluation, and specific disease staging. Use ICD-10 code E85.1, HCPCS J0222, and ensure complete documentation before submission. If denied, Texas law guarantees
5 min read

How to Get Onpattro (Patisiran) Covered by UnitedHealthcare in Illinois: Complete Guide with Appeals Process

Quick Answer: Getting Onpattro Covered by UnitedHealthcare in Illinois Yes, UnitedHealthcare covers Onpattro (patisiran) in Illinois with prior authorization for hereditary transthyretin-mediated amyloidosis polyneuropathy (hATTR-PN). The fastest path: (1) Ensure genetic testing confirms pathogenic TTR variant, (2) Get neurologist evaluation with staging (PND ≤IIIb or FAP Stage 1-2), (3) Submit
6 min read

How to Get Onpattro (Patisiran) Covered by Aetna CVS Health in Michigan: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Onpattro (Patisiran) Covered by Aetna CVS Health in Michigan Fastest path to approval: Submit prior authorization with confirmed TTR gene mutation, neurologist evaluation, and clinical documentation showing hATTR polyneuropathy. First step today: Contact your prescribing neurologist to initiate the PA request through CVS Caremark. Michigan advantage: If
6 min read

How to Get Onpattro (patisiran) Covered by Cigna in Michigan: Complete Prior Authorization and Appeal Guide

Quick Answer: Getting Onpattro (patisiran) Covered by Cigna in Michigan Eligibility: Adults with hereditary transthyretin-mediated amyloidosis (hATTR) with polyneuropathy, confirmed by genetic testing showing a pathogenic TTR variant. Fastest path: Submit prior authorization with neurologist evaluation, genetic test results, and clinical documentation via Cigna's provider portal. Start today:
5 min read

How to Get Onpattro (patisiran) Covered by Blue Cross Blue Shield in Florida: Complete Guide with Forms and Appeal Templates

Answer Box: Getting Onpattro Covered in Florida Eligibility: Blue Cross Blue Shield Florida covers Onpattro (patisiran) for hereditary transthyretin-mediated amyloidosis (hATTR) with polyneuropathy in adults 18+ with confirmed TTR gene mutation and specialist evaluation. Fastest path: Gather genetic testing, neurologist consultation, and baseline scores (mNIS+7, 6MWT) before submitting prior
5 min read