Topic

Prolastin-C (alpha1-proteinase inhibitor)

A collection of 25 issues

Do You Qualify for Prolastin-C Coverage by Blue Cross Blue Shield in New York? Decision Tree & Next Steps

Answer Box: Getting Prolastin-C Covered in New York To get Prolastin-C covered by Blue Cross Blue Shield in New York, you need: (1) Confirmed severe alpha-1 antitrypsin deficiency (Pi*ZZ genotype), (2) FEV1 between 30-65% predicted, and (3) clinical evidence of emphysema. First step today: Contact your pulmonologist to order

Getting Prolastin-C Covered by Blue Cross Blue Shield in Virginia: Complete Guide to Prior Authorization, Appeals, and State External Review

Answer Box: Prolastin-C Coverage with Blue Cross Blue Shield in Virginia Blue Cross Blue Shield Virginia requires prior authorization for Prolastin-C (alpha1-proteinase inhibitor) for alpha-1 antitrypsin deficiency. Coverage requires documented severe AATD (like Pi*ZZ genotype), clinical evidence of emphysema, and lung function tests showing moderate impairment (typically FEV1 35-60%

How to Get Prolastin-C Covered by UnitedHealthcare in Ohio: Appeals Guide with Forms and Timelines

Answer Box: Getting Prolastin-C Covered by UnitedHealthcare in Ohio UnitedHealthcare requires prior authorization for Prolastin-C (alpha1-proteinase inhibitor), with approvals typically requiring severe AAT deficiency genotype (Pi*ZZ), documented emphysema, and specific lung function criteria. If denied, you have 21 calendar days to appeal through the UnitedHealthcare Provider Portal, followed by

How to Get Prolastin-C Covered by Humana in Texas: Complete Requirements Checklist and Appeals Guide

Quick Answer: Getting Prolastin-C Covered by Humana in Texas Prolastin-C requires prior authorization from Humana with strict clinical documentation. You'll need confirmed Pi*ZZ genotype, AAT levels below 11 µM, FEV₁ between 30-65% predicted, and emphysema documentation. First step today: Have your doctor submit a prior authorization request

Do You Qualify for Prolastin-C Coverage by UnitedHealthcare in Georgia? Decision Tree & Next Steps

Answer Box: Your Path to Prolastin-C Coverage in Georgia Yes, you can get Prolastin-C covered by UnitedHealthcare in Georgia if you meet medical necessity criteria. You'll need confirmed alpha1-antitrypsin deficiency with Pi*ZZ genotype, documented emphysema, and AAT levels below 11 µM. Start by having your doctor submit