Topic

Photrexa (riboflavin ophthalmic solution)

A collection of 24 issues

Do You Qualify for Photrexa Coverage by Blue Cross Blue Shield in Illinois? Decision Tree & Next Steps

Answer Box: Your Fast Track to Photrexa Coverage You likely qualify for Photrexa coverage if: You have progressive keratoconus or post-refractive corneal ectasia with documented progression (Kmax increase ≥1.0D or pachymetry decrease ≥10-20 microns over 6-12 months). First step today: Have your eye doctor submit prior authorization through BCBS

How to Get Photrexa (Riboflavin) Covered by Blue Cross Blue Shield in Ohio: Complete PA Guide and Appeal Timeline

Answer Box: Getting Photrexa Covered by Blue Cross Blue Shield in Ohio Blue Cross Blue Shield in Ohio covers Photrexa (riboflavin) for corneal cross-linking when you have documented progressive keratoconus and meet specific prior authorization requirements. The fastest path: 1) Gather corneal topography showing Kmax progression ≥1.0 diopter over

How to Get Photrexa (Riboflavin) Approved by Humana in Pennsylvania: Timeline, Appeals & Success Strategies

Answer Box: Getting Photrexa Covered by Humana in Pennsylvania Humana requires prior authorization for Photrexa (riboflavin ophthalmic solution) used in corneal cross-linking for keratoconus. The fastest path to approval: gather documented progression evidence (Kmax increase ≥1.0 diopter, serial topography), submit through Humana's electronic PA system for 1-day

How to Get Photrexa Covered by Cigna in Ohio: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Photrexa Covered by Cigna in Ohio Yes, Cigna covers Photrexa (riboflavin ophthalmic solution) for FDA-approved epithelium-off corneal cross-linking in progressive keratoconus. Your ophthalmologist must submit prior authorization through Cigna's provider portal with documented progression evidence (Kmax increase ≥1.0D, pachymetry thinning, topography changes over 3-12