Topic

Tepezza (teprotumumab)

A collection of 14 issues

How to Get Tepezza (Teprotumumab) Covered by Aetna CVS Health in Ohio: Complete Prior Authorization Guide

Quick Answer: Getting Tepezza Covered by Aetna CVS Health in Ohio Fastest path to approval: Aetna CVS Health requires prior authorization for Tepezza (teprotumumab) in Ohio. You need moderate-to-severe thyroid eye disease documentation, euthyroid status, and specialist involvement. Submit the PA form with complete clinical records through your provider. If

How to Get Tepezza (Teprotumumab) Covered by Aetna CVS Health in Washington: Prior Authorization Forms, Appeal Process & Success Strategies

Answer Box: Getting Tepezza Covered by Aetna CVS Health in Washington Fastest path to approval: Your ophthalmologist submits Aetna's Tepezza Precertification Form with documented moderate-to-severe TED diagnosis and evidence of failed step therapy (prednisone, methimazole). If denied, file internal appeals within 180 days, then request external review through

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