Topic

Ultomiris (ravulizumab)

A collection of 14 issues

How to Get Ultomiris (Ravulizumab) Approved by Blue Cross Blue Shield in New Jersey: Timeline, Appeals, and Documentation Guide

Answer Box: Getting Ultomiris Covered by Blue Cross Blue Shield in New Jersey Ultomiris (ravulizumab) requires prior authorization from Blue Cross Blue Shield in New Jersey and is typically classified as non-preferred on most formularies. The fastest path to approval involves: 1) Gathering complete diagnostic documentation (lab results, vaccination records,
8 min read

Getting Ultomiris (ravulizumab) Covered by Humana in Michigan: Complete Coverage Guide with Forms and Appeal Process

Answer Box: Getting Ultomiris Covered by Humana in Michigan Eligibility: Ultomiris requires prior authorization from Humana for FDA-approved conditions (PNH, aHUS, gMG, NMOSD). Fastest path: Your doctor submits a PA request with diagnosis confirmation, lab results, and medical necessity documentation through Humana's provider portal. Start today: Contact your
5 min read

Requirements Checklist to Get Ultomiris (ravulizumab) Covered by Humana in Pennsylvania: Forms, Appeals, and Approval Timeline

Answer Box: Getting Ultomiris Covered by Humana in Pennsylvania Who needs this: Pennsylvania patients with PNH, aHUS, generalized myasthenia gravis, or NMOSD whose doctors prescribe Ultomiris (ravulizumab). Fastest path to approval: 1) Verify active Humana coverage and formulary status, 2) Submit prior authorization with complete clinical documentation including vaccination records
5 min read

Myths vs. Facts: Getting Ultomiris (ravulizumab) Covered by Blue Cross Blue Shield in Ohio - Appeals Process and Requirements

Answer Box: Getting Ultomiris Covered by BCBS in Ohio Fastest Path to Approval: Blue Cross Blue Shield in Ohio requires prior authorization for Ultomiris (ravulizumab) with new step therapy requirements effective July 2024—patients must try Empaveli (pegcetacoplan) first unless contraindicated. Submit PA requests through NovoLogix online tool with complete
5 min read

Myths vs. Facts: Getting Ultomiris (Ravulizumab) Covered by UnitedHealthcare in Washington

Answer Box: Getting Ultomiris Covered by UnitedHealthcare in Washington Eligibility: UnitedHealthcare requires prior authorization for Ultomiris (ravulizumab) with step therapy—typically trying eculizumab first. Fastest path: Submit complete PA documentation including diagnosis confirmation (PNH flow cytometry, AChR+ for gMG, AQP4+ for NMOSD), vaccination records, and prior therapy failures. First step
5 min read

How to Get Ultomiris (ravulizumab) Covered by Humana in Ohio: Appeals Process and Medical Necessity Requirements

Answer Box: Getting Ultomiris (ravulizumab) Covered by Humana in Ohio Eligibility: Humana covers Ultomiris with prior authorization for FDA-approved conditions (PNH, aHUS, generalized myasthenia gravis, NMOSD). Fastest approval path: Call Humana Clinical Pharmacy Review at 800-555-CLIN (2546) with complete diagnostic labs, vaccination records, and medical necessity documentation. First step today:
5 min read