Topic

Tepezza (teprotumumab)

A collection of 2 issues

How to Get Tepezza (teprotumumab) Covered by Humana in Pennsylvania: Prior Authorization Guide and Appeals Process

Answer Box: Getting Tepezza Covered by Humana in Pennsylvania Tepezza (teprotumumab) requires prior authorization from Humana for thyroid eye disease (TED) treatment. To get approved: (1) Your ophthalmologist or endocrinologist must document active, moderate-to-severe TED with Clinical Activity Score ≥3 and proptosis measurements, (2) Submit prior authorization through Humana'

How to Get Tepezza (Teprotumumab) Covered by Humana in Washington: Forms, Appeals, and Approval Strategies

Answer Box: Your Fastest Path to Tepezza Coverage Tepezza (teprotumumab) requires prior authorization from Humana Medicare Advantage plans in Washington. Your ophthalmologist must document moderate-to-severe active thyroid eye disease (CAS ≥3) and submit clinical evidence through Humana's medical benefit system using J3241 billing code. Three steps to start