Topic

Translarna (ataluren)

A collection of 25 issues

How to Get Translarna (Ataluren) Covered by Aetna CVS Health in Georgia: Complete Coding, Prior Authorization, and Appeals Guide

Answer Box: Getting Translarna (Ataluren) Covered by Aetna CVS Health in Georgia Translarna (ataluren) requires prior authorization from Aetna CVS Health with strict medical necessity criteria: confirmed nonsense mutation DMD, ambulatory status, age 2+, and specialist prescription. If denied, you have 180 days for internal appeal and 60 days for

Getting Translarna (Ataluren) Covered by Cigna in Michigan: Complete Forms Guide and Appeals Process

Answer Box: Quick Path to Translarna Coverage To get Translarna (ataluren) covered by Cigna in Michigan: Your doctor must submit the Michigan Prior Authorization Request Form FIS 2288 with complete clinical documentation. Cigna must respond within 15 days (or 72 hours for expedited requests). If denied, you have 180 days

How to Get Translarna (Ataluren) Covered by Aetna CVS Health in Virginia: Complete Timeline and Appeals Guide

Answer Box: Getting Translarna Covered by Aetna CVS Health in Virginia Important: Translarna (ataluren) is not FDA-approved in the United States as of 2025. However, if you're seeking coverage through expanded access or clinical trials, here's the fastest path: 1. Confirm genetic testing shows nonsense mutation

How to Renew Translarna (Ataluren) Coverage with UnitedHealthcare in Ohio: Timeline, Documentation & Appeals

Answer Box: Renewing Translarna Coverage in Ohio Translarna (ataluren) requires annual prior authorization renewal with UnitedHealthcare in Ohio. Start the renewal process 60-90 days before your current authorization expires to avoid coverage gaps. Key requirements include updated 6-minute walk test results, genetic confirmation of nonsense mutation DMD, and specialist documentation

How to Get Translarna (Ataluren) Covered by Aetna CVS Health in Michigan: Complete Requirements Guide

Quick Answer: Getting Translarna Covered by Aetna CVS Health in Michigan Translarna (ataluren) requires prior authorization from Aetna CVS Health in Michigan. The fastest path to approval: (1) Submit PA request through Availity portal with genetic testing confirming nonsense mutation DMD, (2) Include ambulatory status documentation and medical necessity letter,