Topic

Trikafta (elexacaftor/tezacaftor/ivacaftor)

A collection of 2 issues

How to Get Trikafta Covered by Aetna CVS Health in Ohio: Prior Authorization Forms, Appeal Process & Alternatives

Answer Box: Getting Trikafta Covered by Aetna CVS Health in Ohio Fastest Path: Aetna CVS Health covers Trikafta with prior authorization requiring CFTR genetic testing showing ≥1 F508del mutation, baseline labs, and CF specialist prescription. Submit PA via fax (1-888-267-3277) or phone (1-855-240-0535). If denied, you have 180 days to

Getting Trikafta Renewed with Humana in New Jersey: Timeline, Documentation, and Appeals Guide

Answer Box: Renewing Trikafta with Humana in New Jersey Humana Medicare Advantage requires Trikafta (elexacaftor/tezacaftor/ivacaftor) renewal every 6-12 months with updated clinical documentation. Submit renewal requests 2-4 weeks before expiration with current liver function tests, pulmonary function data (if age ≥6), and prescriber attestation of continued benefit. If