Topic

Tagrisso (osimertinib)

A collection of 32 issues

How to Get Tagrisso (osimertinib) Covered by Blue Cross Blue Shield in California: Prior Authorization Forms, Appeal Process & Success Strategies

Answer Box: Getting Tagrisso Covered in California Blue Cross Blue Shield plans in California require prior authorization for Tagrisso (osimertinib) with documented EGFR mutations in NSCLC. Submit electronically via CoverMyMeds or the plan's provider portal with pathology reports showing EGFR testing results. If denied, file an internal appeal
6 min read

How to Get Tagrisso (Osimertinib) Covered by Aetna CVS Health in Michigan: Prior Authorization Forms, Appeals, and State Rights

Answer Box: Getting Tagrisso Covered by Aetna CVS Health in Michigan Fastest path to approval: Submit prior authorization with documented EGFR mutation test results, specific NSCLC diagnosis/stage, and prescriber attestation that Tagrisso meets FDA labeling criteria. Aetna typically requires 30-45 days for standard decisions, 72 hours for urgent oncology
6 min read

Getting Tagrisso (Osimertinib) Covered by Cigna in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Quick Path to Approval Cigna requires prior authorization for Tagrisso (osimertinib) with documented EGFR mutation testing and oncologist prescribing. Fastest approval path: Submit PA through Express Scripts/Accredo with EGFR mutation results, pathology report, and medical necessity letter. If denied, file internal appeal within 180 days, then request
6 min read

How to Get Tagrisso (osimertinib) Covered by UnitedHealthcare in Georgia: Prior Authorization Guide, Appeal Steps, and External Review

Answer Box: Getting Tagrisso Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Tagrisso (osimertinib) in Georgia. To get approval: (1) Submit documented proof of EGFR mutation-positive NSCLC, (2) Complete the UnitedHealthcare PA form with clinical notes showing disease stage and treatment history, (3) If denied, file internal appeal
6 min read

Work With Your Doctor to Get Tagrisso (Osimertinib) Approved by UnitedHealthcare in Florida: Prior Authorization Guide

Answer Box: Getting Tagrisso Approved by UnitedHealthcare in Florida Tagrisso (osimertinib) requires prior authorization from UnitedHealthcare for all members. To get approved, you need documented EGFR mutation testing (exon 19 deletion or L858R) and your oncologist must submit a complete prior authorization through the UnitedHealthcare Provider Portal. First step today:
5 min read