Topic

Turalio (pexidartinib)

A collection of 30 issues

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.

Myths vs. Facts: Getting Turalio (Pexidartinib) Covered by Humana in Pennsylvania

Answer Box: Getting Turalio Covered by Humana in Pennsylvania Turalio (pexidartinib) requires prior authorization under Humana Medicare Advantage plans in Pennsylvania for TGCT patients. Success depends on proper REMS enrollment, comprehensive medical necessity documentation, and understanding Pennsylvania's 50% external review success rate. Fastest path to approval: 1. Complete

Myths vs. Facts: Getting Turalio (pexidartinib) Covered by Blue Cross Blue Shield in Georgia

Answer Box: Getting Turalio Covered by Blue Cross Blue Shield in Georgia Blue Cross Blue Shield (BCBS) of Georgia requires prior authorization for Turalio (pexidartinib) to treat symptomatic TGCT not amenable to surgery. Key requirements: confirmed TGCT diagnosis, documented surgical inoperability, severe morbidity/functional limitations, and completed REMS enrollment with

How Long Does It Take to Get Turalio (pexidartinib) Approved by Aetna CVS Health in Ohio? Complete Timeline Guide

Quick Answer: Turalio (pexidartinib) Approval Timeline with Aetna CVS Health in Ohio Aetna CVS Health typically completes prior authorization for Turalio (pexidartinib) within 14 days, with over 95% of eligible requests approved in less than 24 hours. For Ohio residents, the fastest path involves: (1) ensuring complete REMS enrollment and

Myths vs. Facts: Getting Turalio (pexidartinib) Covered by Humana in Michigan

Answer Box: Getting Turalio Covered by Humana in Michigan Yes, Humana covers Turalio (pexidartinib) for TGCT in Michigan, but prior authorization is required. The fastest path to approval: (1) Ensure your prescriber is REMS-certified and submits complete PA documentation including MRI confirming symptomatic TGCT not amenable to surgery, (2) Document

How to Get Turalio (Pexidartinib) Covered by Humana in California: Prior Authorization Guide

Answer Box: Getting Turalio Covered by Humana in California Turalio (pexidartinib) requires prior authorization from Humana and is typically placed on Tier 5 (specialty tier). To get approved in California: 1. Complete REMS enrollment - Both prescriber and patient must enroll in the Turalio REMS Program 2. Submit comprehensive PA