Topic

Tremfya (guselkumab)

A collection of 29 issues

How to Get Tremfya (Guselkumab) Covered by Aetna CVS Health in California: Prior Authorization, Appeals & Cost Savings

Answer Box: Fast Track to Tremfya Coverage Getting Tremfya (guselkumab) covered by Aetna CVS Health in California requires prior authorization through a dermatologist or rheumatologist. Submit documentation showing moderate-to-severe disease (≥10% body surface area or crucial areas affected) plus failure/intolerance of conventional treatments. First step: Have your specialist complete
6 min read

Myths vs. Facts: Getting Tremfya (Guselkumab) Covered by Humana in North Carolina

Answer Box: Getting Tremfya Covered by Humana in North Carolina Eligibility: Moderate-to-severe plaque psoriasis with PASI ≥10 or equivalent severity, failed conventional systemic therapy (methotrexate, cyclosporine), and negative TB screening within 12 months. Fastest path: Work with a dermatologist to submit prior authorization with complete documentation: diagnosis severity scores, prior
5 min read

How to Get Tremfya (Guselkumab) Covered by Blue Cross Blue Shield Virginia: Prior Authorization Forms, Appeals, and Step-by-Step Guide

Answer Box: Getting Tremfya (Guselkumab) Covered by Blue Cross Blue Shield Virginia Tremfya (guselkumab) requires prior authorization from Blue Cross Blue Shield Virginia (Anthem). The fastest path to approval involves three steps: 1) Submit complete prior authorization documentation including PASI scores and failed therapy history through Anthem's Availity
6 min read

Work With Your Doctor to Get Tremfya (Guselkumab) Approved by UnitedHealthcare in New York: Complete PA Guide

Answer Box: Getting Tremfya Covered by UnitedHealthcare in New York UnitedHealthcare requires prior authorization for Tremfya (guselkumab) and typically mandates step therapy with TNF inhibitors first. Success requires: (1) documented moderate-to-severe psoriasis with PASI/BSA scores, (2) proof of TNF inhibitor trial/failure or contraindication, and (3) negative TB screening
7 min read

How to Get Tremfya (guselkumab) Covered by Blue Cross Blue Shield in Georgia: Prior Authorization, Appeals & Success Strategies

Answer Box: Getting Tremfya Covered by Blue Cross Blue Shield in Georgia Fastest path to approval: Submit prior authorization with complete tuberculosis screening, PASI/IGA scores showing moderate-to-severe disease, and documentation of failed TNF inhibitors or contraindications. If denied, file internal appeal within plan deadlines, then external review with Georgia
6 min read