Topic

Tegsedi (inotersen)

A collection of 37 issues

How to Get Tegsedi (inotersen) Covered by UnitedHealthcare in Florida: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tegsedi (inotersen) Approved by UnitedHealthcare in Florida UnitedHealthcare requires prior authorization for Tegsedi (inotersen) with strict criteria: confirmed hATTR polyneuropathy (ICD-10 E85.1), pathogenic TTR mutation, neurologist involvement, and REMS enrollment. No step therapy required, but baseline labs and monitoring plan are mandatory. First step: Gather genetic
6 min read

How to Get Tegsedi (inotersen) Covered by UnitedHealthcare in Texas: Complete Prior Authorization Guide with Forms and Appeals

Answer Box: Getting Tegsedi (inotersen) Approved by UnitedHealthcare in Texas Quick Path to Coverage: UnitedHealthcare requires prior authorization for Tegsedi (inotersen) for hereditary transthyretin amyloidosis with polyneuropathy. You'll need: (1) confirmed hATTR diagnosis with TTR mutation, (2) REMS program enrollment for patient, prescriber, and pharmacy, and (3) baseline
6 min read

How to Get Tegsedi (Inotersen) Covered by UnitedHealthcare in Pennsylvania: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tegsedi Covered by UnitedHealthcare in Pennsylvania Fastest Path: Complete FDA REMS enrollment (both patient and prescriber) → Submit prior authorization through UHC Provider Portal with genetic testing, baseline labs, and neurologist consultation → If denied, file internal appeal within 180 days → Use Pennsylvania's External Review Program (50%
6 min read

How to Get Tegsedi (Inotersen) Covered by Blue Cross Blue Shield in Washington: Complete Guide with Forms and Appeals

Answer Box: Getting Tegsedi Covered by Blue Cross Blue Shield in Washington Blue Cross Blue Shield (BCBS) in Washington requires prior authorization for Tegsedi (inotersen), typically requiring patients to first try preferred alternatives like Onpattro (patisiran) or Amvuttra (vutrisiran) unless contraindicated. To get Tegsedi approved: 1. Document hATTR diagnosis with
5 min read