Topic

Tavalisse (fostamatinib disodium hexahydrate)

A collection of 16 issues

Tavalisse (Fostamatinib) Coverage with Blue Cross Blue Shield Illinois: Prior Authorization, Appeals, and Patient Assistance Guide

Answer Box: Getting Tavalisse Covered in Illinois Tavalisse (fostamatinib) requires prior authorization from Blue Cross Blue Shield Illinois (BCBSIL) and is subject to step therapy requirements. To get coverage: (1) Your hematologist must document failed first-line ITP therapies like corticosteroids or IVIG, (2) Submit PA via Availity Provider Portal with
6 min read

How to Get Tavalisse (Fostamatinib) Covered by Cigna in Florida: Complete Prior Authorization and Renewal Guide

Answer Box: Getting Tavalisse (Fostamatinib) Covered by Cigna in Florida Cigna typically covers Tavalisse (fostamatinib) for chronic immune thrombocytopenia (ITP) after prior therapy failures, but requires prior authorization with hematologist consultation. Submit renewal documentation 30 days before expiration to avoid gaps. In Florida, you have 180 days to file internal
6 min read

How Long Does It Take to Get Tavalisse (Fostamatinib) Approved by Blue Cross Blue Shield in Georgia? Timeline & Appeals Guide

Answer Box: Getting Tavalisse Approved in Georgia Standard approval timeline: 2-5 business days for Blue Cross Blue Shield Georgia prior authorization requests. Expedited reviews: 24 hours for urgent cases. Tavalisse requires documentation of chronic immune thrombocytopenia (ITP) diagnosis and insufficient response to prior therapies (steroids, IVIG, TPO receptor agonists). If
5 min read

How to Get Tavalisse (fostamatinib) Covered by Cigna in New Jersey: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tavalisse (fostamatinib) Covered by Cigna in New Jersey Tavalisse (fostamatinib) requires prior authorization from Cigna and is typically covered as a specialty medication for chronic ITP after failed first-line treatments. Your fastest path to approval: 1) Have your hematologist document inadequate response to corticosteroids, IVIG, or TPO
5 min read

How to Get Tavalisse (Fostamatinib) Covered by Blue Cross Blue Shield Michigan: Complete Prior Authorization & Appeals Guide

Quick Answer: Getting Tavalisse Covered by BCBS Michigan Tavalisse (fostamatinib) requires prior authorization from Blue Cross Blue Shield of Michigan for chronic immune thrombocytopenia (ITP). The fastest path to approval: ensure your hematologist documents failed prior therapies (corticosteroids, IVIG, or thrombopoietin receptor agonists), submit current platelet count labs (<30,
7 min read

How to Get Tavalisse (Fostamatinib) Covered by UnitedHealthcare in Illinois: Complete Guide with Forms and Appeal Strategies

Answer Box: Getting Tavalisse Covered by UnitedHealthcare in Illinois UnitedHealthcare requires prior authorization for Tavalisse (fostamatinib) in Illinois, with strict step therapy requirements including failed corticosteroids and thrombopoietin receptor agonists. Illinois law prohibits step therapy for state-regulated plans as of 2025, but this doesn't apply to self-insured employer
6 min read