Topic

Tavalisse (fostamatinib disodium hexahydrate)

A collection of 38 issues

How to Get Tavalisse (Fostamatinib) Covered by Aetna CVS Health in Washington: Forms, Appeals & Contact Guide

Quick Answer: Getting Tavalisse Covered by Aetna CVS Health in Washington Aetna CVS Health requires prior authorization for Tavalisse (fostamatinib) in Washington, with standard criteria including prior failures of corticosteroids, IVIG, and TPO agonists. Submit PA requests via your provider portal or fax to CVS Specialty at 1-800-323-2445. If denied,

How to Get Tavalisse (fostamatinib) Covered by UnitedHealthcare in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tavalisse Covered by UnitedHealthcare in Texas UnitedHealthcare requires prior authorization for Tavalisse (fostamatinib) in adults with chronic ITP who had insufficient response to prior treatments like corticosteroids, immunoglobulins, or TPO receptor agonists. Your hematologist submits electronically via the UHC Provider Portal with diagnosis confirmation (ICD-10 D69.3)

How Long Does It Take to Get Tavalisse Approved by UnitedHealthcare in New York? Complete Timeline & Appeals Guide

Answer Box: Getting Tavalisse Covered by UnitedHealthcare in New York UnitedHealthcare typically processes Tavalisse (fostamatinib) prior authorizations within 24 hours for standard submissions, or within minutes for electronic requests through OptumRx. The fastest path requires your hematologist to submit complete documentation showing failed prior therapies (steroids, IVIG, or TPO agonists)

How to Get Tavalisse Covered by Humana in Illinois: Complete Prior Authorization Guide with Forms and Appeals

Answer Box: Getting Tavalisse Covered by Humana in Illinois Tavalisse (fostamatinib) is typically non-formulary under Humana plans in Illinois, requiring a formulary exception plus prior authorization. You'll need: (1) A hematologist prescriber with documented ITP diagnosis and platelet count <30,000/µL, (2) Evidence of failed prior

How to Get Tavalisse (Fostamatinib) Covered by Blue Cross Blue Shield in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tavalisse Covered by Blue Cross Blue Shield in New York Blue Cross Blue Shield plans in New York require prior authorization for Tavalisse (fostamatinib) with hematologist involvement and documented chronic ITP after prior therapy failures. New York's strong appeal protections give you 72 hours for

Work With Your Doctor to Get Tavalisse (Fostamatinib) Covered by Blue Cross Blue Shield in Pennsylvania: Complete Prior Authorization Guide

Quick Answer: Getting Tavalisse Covered in Pennsylvania To get Tavalisse (fostamatinib) covered by Blue Cross Blue Shield in Pennsylvania, you'll need prior authorization from a hematologist or oncologist documenting chronic ITP diagnosis, platelet count below 30,000/μL, and failure of first-line therapies (corticosteroids, IVIG, or TPO agonists)

How to Get Tavalisse (fostamatinib) Covered by Aetna CVS Health in New Jersey: Complete Appeals Guide

Answer Box: Fast Track to Tavalisse Coverage Aetna CVS Health requires prior authorization for Tavalisse (fostamatinib) in New Jersey, with initial approval typically granted for 12 weeks when medical necessity criteria are met. The fastest path: have your hematologist submit a complete PA request through Availity with documented failure of

Renewing Tavalisse (Fostamatinib) Approval with UnitedHealthcare in Washington: Complete 2025 Guide

Answer Box: UnitedHealthcare requires annual renewal of Tavalisse (fostamatinib) prior authorization in Washington, with submissions due 30 days before expiration. Submit via the UHC Provider Portal with documented platelet response, current labs (LFTs, CBC, BP), and hematologist attestation. If denied, file internal appeal within 180 days, then external review through

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

Quick Answer: Getting Tavalisse Covered by Cigna in New York Tavalisse (fostamatinib) requires prior authorization from Cigna for adults with chronic ITP. You'll need a hematologist's prescription, platelet count <30,000/μL (or <50,000/μL with bleeding), and it's dispensed through

How to Get Tavalisse (fostamatinib) Covered by Blue Cross Blue Shield in Virginia: Complete Prior Authorization & Appeals Guide

Answer Box: Getting Tavalisse Covered by Blue Cross Blue Shield in Virginia Tavalisse (fostamatinib) requires prior authorization from Blue Cross Blue Shield Virginia and typically needs documented failure of first-line treatments (corticosteroids, IVIG) and TPO receptor agonists (eltrombopag/Promacta, romiplostim/Nplate) for chronic ITP. Submit PA through your hematologist with