Topic

Trikafta (elexacaftor/tezacaftor/ivacaftor)

A collection of 25 issues

Work With Your Doctor to Get Trikafta Covered by Blue Cross Blue Shield in North Carolina: Complete Provider Collaboration Guide

Answer Box: Getting Trikafta Approved in North Carolina Your fastest path to Trikafta approval: Work directly with your CF specialist to submit a complete prior authorization with CFTR genetic testing results, baseline liver function tests, and a detailed medical necessity letter. Blue Cross Blue Shield of North Carolina requires these

Getting Trikafta Covered by Cigna in Washington: Complete Prior Authorization and Appeals Guide

Answer Box: Fast Track to Trikafta Coverage To get Trikafta covered by Cigna in Washington: 1) Confirm your CFTR genetic testing shows an FDA-approved mutation, 2) Have your CF specialist submit a prior authorization with baseline labs and medical necessity letter, 3) If denied, file an internal appeal within 180

How to Get Trikafta Covered by Florida Blue Cross Blue Shield: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Trikafta Covered by Florida Blue Florida Blue requires prior authorization for Trikafta (elexacaftor/tezacaftor/ivacaftor) with documented CFTR genotype testing. To get approval: (1) Confirm your genetic mutation is FDA-approved for Trikafta, (2) Have your CF specialist submit a prior authorization form with baseline labs and clinical

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