Topic

Turalio (pexidartinib)

A collection of 15 issues

Myths vs. Facts: Getting Turalio (pexidartinib) Covered by UnitedHealthcare in Washington

Quick Answer: Getting Turalio (pexidartinib) covered by UnitedHealthcare in Washington requires REMS program enrollment, confirmed TGCT diagnosis, and documentation that surgery isn't viable. Most denials stem from incomplete REMS forms or missing surgical consultation notes. If denied, Washington's external review process through an Independent Review Organization

Do You Qualify for Turalio (Pexidartinib) Coverage by Aetna (CVS Health) in Illinois? Decision Tree & Next Steps

Quick Answer: Your Path to Turalio Approval Yes, Aetna (CVS Health) covers Turalio (pexidartinib) in Illinois with prior authorization. You'll likely qualify if you have symptomatic TGCT not suitable for surgery, meet REMS program requirements, and provide complete documentation. First step today: Call CVS Specialty at 1-800-237-2767 to

Renewing Turalio (Pexidartinib) Approval with Blue Cross Blue Shield in North Carolina: Complete Timeline and Documentation Guide

Answer Box: Renewing Turalio Approval in North Carolina Blue Cross Blue Shield of North Carolina requires annual prior authorization renewal for Turalio (pexidartinib), typically 30-60 days before your current approval expires. You'll need updated TGCT diagnosis confirmation, proof of REMS program compliance with current liver function tests, and

How to Get Turalio (Pexidartinib) Covered by Cigna in North Carolina: Complete Approval Guide and Appeals Process

Quick Answer: Your Path to Turalio Coverage You likely qualify for Turalio (pexidartinib) coverage by Cigna in North Carolina if you: * Have confirmed TGCT diagnosis with imaging/pathology reports * Are 18+ years old with surgery contraindicated due to severe morbidity risk * Complete REMS program enrollment for hepatotoxicity monitoring Fastest approval

Resources to Get Turalio (Pexidartinib) Approved with UnitedHealthcare in Illinois: Forms, Portals & Contact Guide

Answer Box: Getting Turalio (Pexidartinib) Covered by UnitedHealthcare in Illinois Fastest path to approval: Complete UnitedHealthcare's prior authorization form with TGCT diagnosis documentation, surgical consultation notes, and REMS enrollment proof. Submit via the UnitedHealthcare Provider Portal or fax to OptumRx. First step today: Verify your plan requires PA

The Requirements Checklist to Get Turalio (Pexidartinib) Covered by Aetna (CVS Health) in Florida

Quick Answer: Getting Turalio Covered by Aetna (CVS Health) in Florida Who qualifies: Patients with symptomatic tenosynovial giant cell tumor (TGCT) not amenable to surgery, causing severe morbidity or functional limitations. Fastest path: Complete Aetna's prior authorization form with REMS enrollment documentation, surgical contraindication evidence, and detailed medical

How Long Does It Take to Get Turalio (Pexidartinib) Approved by Blue Cross Blue Shield in California? Complete Timeline & Appeals Guide

Answer Box: Getting Turalio Covered by Blue Cross Blue Shield in California Blue Cross Blue Shield of California requires prior authorization for Turalio (pexidartinib), with electronic submissions typically processed in 1-3 business days. The fastest path involves: (1) ensuring REMS enrollment for both prescriber and patient, (2) submitting complete clinical

How to Get Turalio (Pexidartinib) Covered by Humana in New York: Coding, Prior Authorization, and Appeals Guide

Answer Box: Getting Turalio Covered by Humana in New York Turalio (pexidartinib) requires prior authorization from Humana for tenosynovial giant cell tumor (TGCT) when surgery isn't an option. First step today: Ensure your prescriber is REMS-certified and gather baseline liver function tests. Submit PA via Humana's

How to Get Turalio (Pexidartinib) Covered by Blue Cross Blue Shield in Florida: Complete Appeals Guide with Templates

Answer Box: Quick Path to Turalio Coverage To get Turalio (pexidartinib) covered by Blue Cross Blue Shield in Florida: 1) Ensure complete REMS enrollment (prescriber, patient, pharmacy), 2) Submit prior authorization with TGCT diagnosis documentation and surgical contraindications, 3) If denied, file internal appeal within 180 days with medical necessity

How Long Does It Take to Get Turalio (Pexidartinib) Approved by UnitedHealthcare in Texas? Complete Timeline Guide

Answer Box: Getting Turalio Approved by UnitedHealthcare in Texas Timeline: 7-30 days for standard review, 72 hours for expedited cases. Fastest path: Complete REMS enrollment first, gather surgical consultation notes explaining why surgery isn't feasible, and submit prior authorization with comprehensive TGCT documentation through the UnitedHealthcare provider portal.