Topic

Strensiq (asfotase alfa)

A collection of 37 issues

Get Strensiq (asfotase alfa) Covered by Aetna CVS Health in Texas: Complete Prior Authorization & Appeals Guide

Answer Box: Getting Strensiq Covered by Aetna CVS Health in Texas Strensiq (asfotase alfa) is covered by Aetna CVS Health in Texas for perinatal, infantile, and juvenile-onset hypophosphatasia with prior authorization. Your specialist must submit genetic or biochemical confirmation, clinical documentation, and radiographic evidence. Standard review takes 15 business days;
6 min read

How to Get Strensiq (Asfotase Alfa) Covered by UnitedHealthcare in Virginia: Complete Prior Authorization Guide

Answer Box: Getting Strensiq Covered by UnitedHealthcare in Virginia UnitedHealthcare requires prior authorization for Strensiq (asfotase alfa) with strict medical necessity criteria. You'll need confirmed pediatric-onset hypophosphatasia, low serum alkaline phosphatase levels, genetic testing results, and prescription by an endocrinologist. Submit via the OptumRx Provider Portal or call
6 min read

Work With Your Doctor to Get Strensiq (asfotase alfa) Approved by Blue Cross Blue Shield in Texas: Complete Provider Collaboration Guide

Answer Box: Getting Strensiq Approved in Texas Blue Cross Blue Shield of Texas requires prior authorization for Strensiq (asfotase alfa) with strict pediatric-onset hypophosphatasia criteria. To get approved: (1) Confirm your doctor has genetic testing (ALPL mutation) and low alkaline phosphatase labs, (2) Submit comprehensive medical records showing onset before
6 min read

The Complete Guide to Getting Strensiq (Asfotase Alfa) Covered by Aetna CVS Health in Georgia: Prior Authorization, Appeals & Templates

Answer Box: Fast Track to Strensiq Coverage To get Strensiq (asfotase alfa) covered by Aetna CVS Health in Georgia, you need prior authorization with specific documentation: confirmed hypophosphatasia diagnosis (genetic testing or low alkaline phosphatase + elevated substrates), radiographic evidence, and proof of pediatric-onset disease. Submit the 2024 Aetna Strensiq Precertification
6 min read

How to Get Strensiq (Asfotase Alfa) Covered by Humana in Virginia: PA Forms, Appeals, and Approval Strategy

Answer Box: Getting Strensiq Covered by Humana in Virginia Strensiq (asfotase alfa) requires prior authorization from Humana for pediatric-onset hypophosphatasia (HPP). The fastest path: 1) Confirm genetic testing shows pathogenic ALPL mutation, 2) Document persistently low age-adjusted alkaline phosphatase levels, 3) Submit PA request through Humana's provider portal
6 min read

How to Get Strensiq (Asfotase Alfa) Covered by UnitedHealthcare in North Carolina: Complete Guide to Prior Authorization, Appeals, and State Protections

Answer Box: Getting Strensiq Covered by UnitedHealthcare in North Carolina Eligibility: UnitedHealthcare covers Strensiq (asfotase alfa) for pediatric-onset hypophosphatasia with prior authorization. Requirements: ALPL gene mutation documentation, low alkaline phosphatase levels, and specialist prescription (endocrinologist/geneticist). First step: Submit PA through OptumRx with complete genetic testing results and clinical documentation.
7 min read

How to Get Strensiq (Asfotase Alfa) Covered by Blue Cross Blue Shield in Georgia: Complete Coding, Appeals, and Authorization Guide

Answer Box: Getting Strensiq Covered by Blue Cross Blue Shield in Georgia Blue Cross Blue Shield Georgia requires prior authorization for Strensiq (asfotase alfa) with strict criteria for pediatric-onset hypophosphatasia. Success requires proper coding (ICD-10 E83.39, HCPCS J3590), comprehensive clinical documentation from a specialist, and evidence of low alkaline
6 min read