Topic

Tepezza (teprotumumab)

A collection of 32 issues

How to Get Tepezza (teprotumumab) Covered by Blue Cross Blue Shield in Washington: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tepezza Covered by Blue Cross Blue Shield in Washington Fastest path: Submit prior authorization with complete TED documentation (CAS score, photos, euthyroid labs, ophthalmologist prescription). If denied, file internal appeal within plan deadlines, then request IRO external review through Washington's Office of Insurance Commissioner (1-800-562-6900)
6 min read

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

Answer Box: Getting Tepezza Covered by UnitedHealthcare in Pennsylvania UnitedHealthcare requires prior authorization for Tepezza (teprotumumab) in Pennsylvania through OptumRx. You need: moderate-to-severe thyroid eye disease diagnosed by an ophthalmologist/endocrinologist, euthyroid status, and prior corticosteroid trial or contraindication. Submit via UHC Provider Portal or fax to 1-844-403-1027. If denied,
5 min read

How to Get Tepezza (Teprotumumab) Covered by Blue Cross Blue Shield in North Carolina: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Tepezza Covered by BCBS in North Carolina Tepezza (teprotumumab) requires prior authorization from Blue Cross Blue Shield of North Carolina for thyroid eye disease coverage. Your fastest path to approval: 1) Gather comprehensive TED documentation including Clinical Activity Score (CAS ≥3), proptosis measurements, and prior therapy failures;
6 min read

How to Get Tepezza (Teprotumumab) Covered by Blue Cross Blue Shield in Georgia: Complete Requirements Checklist

Answer Box: Getting Tepezza Covered by Blue Cross Blue Shield Georgia Blue Cross Blue Shield Georgia (Anthem BCBS) requires prior authorization for Tepezza (teprotumumab) for thyroid eye disease. Key requirements: active TED diagnosis, age 18+, ophthalmology/endocrinology specialist prescriber, and monitoring agreements. The fastest path: submit complete PA with clinical
7 min read

How to Get Tepezza (Teprotumumab) Covered by UnitedHealthcare in Georgia: Prior Authorization Guide and Appeal Process

Answer Box: Getting Tepezza Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Tepezza (teprotumumab) with specific criteria: moderate-to-severe thyroid eye disease diagnosed by an ophthalmologist/endocrinologist, euthyroid status, documented corticosteroid trial or contraindication, and Clinical Activity Score ≥3. Fastest path: Have your specialist submit a complete PA request
6 min read

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
5 min read