Topic

Orladeyo (berotralstat)

A collection of 29 issues

How to Get Orladeyo (Berotralstat) Covered by Cigna in California: Appeals Guide and Formulary Alternatives

Answer Box: Getting Orladeyo (Berotralstat) Covered by Cigna in California Cigna requires prior authorization (PA) for Orladeyo (berotralstat) for hereditary angioedema (HAE) prophylaxis. Submit through your doctor with confirmed HAE diagnosis (low C4 and C1-INH levels), age ≥12 years, and documented failure/intolerance of formulary alternatives like Takhzyro or Haegarda.
5 min read

How Long Does It Take to Get Orladeyo (berotralstat) Approved by Blue Cross Blue Shield in Ohio? Complete Timeline & Appeal Guide

Answer Box: Getting Orladeyo Approved by Blue Cross Blue Shield in Ohio Timeline: 1-14 days for standard prior authorization, 24-72 hours for urgent cases. Blue Cross Blue Shield Ohio (primarily Anthem) requires prior authorization for Orladeyo (berotralstat) with specialist documentation of hereditary angioedema diagnosis, C1-INH testing, and often step therapy
6 min read

How to Get Orladeyo (berotralstat) Covered by UnitedHealthcare in Washington: Complete Guide to Forms, Appeals, and Timelines

Answer Box: Getting Orladeyo Covered by UnitedHealthcare in Washington UnitedHealthcare requires prior authorization for Orladeyo (berotralstat) with documented HAE diagnosis, step therapy completion, and specialty pharmacy dispensing. Submit PA via UnitedHealthcare Provider Portal or fax to 1-844-403-1027 within 24-72 hours for electronic requests. If denied, file internal appeals within 180
5 min read

How to Get Orladeyo (berotralstat) Covered by Blue Cross Blue Shield in Washington: Prior Authorization, Appeals, and Cost Assistance Guide

Answer Box: Getting Orladeyo Covered by Blue Cross Blue Shield in Washington Orladeyo (berotralstat) requires prior authorization from Blue Cross Blue Shield plans in Washington, with coverage typically requiring confirmed HAE diagnosis, age ≥12 years, and prophylaxis indication. Your fastest path to approval: 1. Gather documentation: HAE diagnosis with C1-INH/
5 min read

Get Orladeyo (Berotralstat) Covered by Blue Cross Blue Shield in Pennsylvania: Complete Prior Authorization Guide with Appeals Process

Answer Box: Getting Orladeyo Covered by Blue Cross Blue Shield in Pennsylvania Fastest Path to Approval: Orladeyo requires prior authorization from all Pennsylvania Blue Cross Blue Shield plans. You'll need documented HAE diagnosis with C1-INH testing, evidence of failed injectable prophylaxis (Takhzyro, Haegarda, or Cinryze), and HAE specialist
6 min read

How to Get Orladeyo (Berotralstat) Covered by Blue Cross Blue Shield of Michigan: Complete Forms, Appeals, and Approval Guide

Answer Box: Getting Orladeyo Covered by Blue Cross Blue Shield of Michigan Quick path to approval: Orladeyo (berotralstat) requires prior authorization from Blue Cross Blue Shield of Michigan for hereditary angioedema prophylaxis. Submit through your doctor via the BCBS Michigan provider portal with complete HAE diagnosis documentation, C1-INH levels, and
6 min read