Topic

Tagrisso (osimertinib)

A collection of 25 issues

Aetna (CVS Health) Coverage Criteria for Tagrisso (Osimertinib) in Pennsylvania: What Counts as "Medically Necessary"?

Answer Box: Getting Tagrisso (Osimertinib) Covered by Aetna (CVS Health) in Pennsylvania Aetna (CVS Health) requires prior authorization for Tagrisso with documented EGFR mutation testing (exon 19 deletion or L858R) and FDA-approved indication. Submit through CVS Caremark Specialty (1-866-814-5506) with complete clinical documentation. If denied, you have 180 days for

How to Get Tagrisso (Osimertinib) Covered by UnitedHealthcare in Washington: Prior Authorization Guide & Appeal Steps

Answer Box: Getting Tagrisso Covered by UnitedHealthcare in Washington You can get Tagrisso (osimertinib) covered by UnitedHealthcare in Washington if you have EGFR-mutated non-small cell lung cancer (NSCLC) and meet prior authorization criteria. The fastest path: ensure your oncologist has documented EGFR mutation test results (exon 19 deletion or L858R)

Myths vs. Facts: Getting Tagrisso (Osimertinib) Covered by Aetna (CVS Health) in New Jersey

Answer Box: Getting Tagrisso Covered by Aetna in New Jersey Eligibility: Tagrisso requires prior authorization from Aetna with documented EGFR mutation testing (exon 19 deletions or L858R) for metastatic or adjuvant NSCLC treatment. Fastest path: Submit PA through CVS Caremark Specialty (1-866-814-5506) with complete EGFR test results, diagnosis codes, and

How to Get Tagrisso (Osimertinib) Covered by Aetna in Georgia: PA Requirements, Appeals & Scripts

Answer Box: Getting Tagrisso Covered by Aetna in Georgia Aetna requires prior authorization for Tagrisso (osimertinib) with documented EGFR mutation testing. Submit PA request through CVS Caremark Specialty Pharmacy (1-866-814-5506) with EGFR test results, diagnosis codes, and clinical notes. If denied, you have 180 days to file an internal appeal,

How to Get Tagrisso (osimertinib) Covered by UnitedHealthcare in California: Prior Authorization, Appeals & Cost Assistance

Answer Box: Getting Tagrisso Covered by UnitedHealthcare in California Quick answer: Tagrisso requires prior authorization from UnitedHealthcare but has $0 copay for covered patients. To get approved: (1) Submit PA with EGFR mutation test results through your doctor, (2) If denied, file internal appeal within 180 days, (3) Request California