Topic

Symdeko / Symkevi (tezacaftor/ivacaftor)

A collection of 23 issues

How to Get Symdeko/Symkevi Covered by UnitedHealthcare in Illinois: Prior Authorization, Appeals & Forms

Answer Box: Getting Symdeko/Symkevi Covered in Illinois UnitedHealthcare covers Symdeko/Symkevi for cystic fibrosis patients age 6+ with eligible CFTR mutations, but requires prior authorization. The fastest path: 1) Confirm your genotype shows homozygous F508del or another responsive mutation, 2) Have your CF specialist submit PA with genetic test

Getting Symdeko/Symkevi Covered by Cigna in New Jersey: Prior Authorization Forms, Appeal Templates & IHCAP Process

Answer Box: Fast Track to Symdeko/Symkevi Coverage To get Symdeko/Symkevi covered by Cigna in New Jersey: Submit prior authorization with genetic test results showing F508del or approved CFTR mutation, age verification (≥6 years), and specialist documentation. If denied, file internal appeal within 180 days, then external review through

How to Get Symdeko Covered by Blue Cross Blue Shield of Illinois: Prior Authorization, Appeals, and Alternative Paths

Answer Box: Getting Symdeko Covered by Blue Cross Blue Shield of Illinois Symdeko (tezacaftor/ivacaftor) requires prior authorization from Blue Cross Blue Shield of Illinois (BCBSIL), with documented CFTR genotype testing and specialty pharmacy dispensing. Start by having your CF specialist submit a prior authorization request through the BCBSIL provider