Topic

Texas

A collection of 386 issues

How to Get iLink® Corneal Cross-Linking Covered by Blue Cross Blue Shield in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting iLink® Covered by BCBS Texas Blue Cross Blue Shield of Texas (BCBSTX) covers iLink® corneal cross-linking for progressive keratoconus when medically necessary per their 2024 policy. Success requires: (1) documented corneal progression (≥1 diopter change over 12 months via topography), (2) prior authorization through your ophthalmologist, and
5 min read

Work With Your Doctor to Get Fabrazyme (Agalsidase Beta) Covered by Humana in Texas: Complete Prior Authorization Guide

Answer Box: Getting Fabrazyme Covered by Humana in Texas Fabrazyme (agalsidase beta) requires prior authorization from Humana Medicare plans in Texas. Success depends on confirmed Fabry disease diagnosis (genetic testing + enzyme deficiency), specialist prescription, and a comprehensive medical necessity letter. Your fastest path: 1) Schedule with a Fabry specialist (geneticist,
6 min read

How to Get Mepsevii (Vestronidase Alfa-vjbk) Covered by UnitedHealthcare in Texas: Complete PA Guide and Appeals Process

Answer Box: Getting Mepsevii Covered by UnitedHealthcare in Texas UnitedHealthcare requires prior authorization for Mepsevii (vestronidase alfa-vjbk) in Texas, with coverage under the medical benefit using HCPCS J3397. Submit PA via OptumRx Provider Portal with confirmed MPS VII diagnosis (enzyme deficiency + GUSB genetics), specialist documentation, and baseline assessments. Standard review
6 min read

Work With Your Doctor to Get Amvuttra (vutrisiran) Approved by Aetna CVS Health in Texas: Complete Provider Collaboration Guide

Answer Box: Getting Amvuttra (vutrisiran) Approved by Aetna CVS Health in Texas Amvuttra (vutrisiran) requires prior authorization from Aetna CVS Health for both hATTR polyneuropathy and ATTR cardiomyopathy. Success depends on partnering with your neurologist or cardiologist to submit comprehensive documentation including genetic testing, tissue diagnosis, and symptom scores. If
7 min read

How to Get Elzonris (Tagraxofusp-Erzs) Covered by Cigna in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Elzonris Covered by Cigna in Texas Yes, Cigna covers Elzonris (tagraxofusp-erzs) for CD123-positive BPDCN with prior authorization. Your oncologist submits via Cigna/Express Scripts portal with pathology confirming CD123+ immunophenotype, baseline albumin ≥3.2 g/dL, and capillary leak syndrome monitoring plan. Standard review takes 72 hours;
6 min read