Topic

Ultomiris (ravulizumab)

A collection of 14 issues

How to Get Ultomiris (ravulizumab) Covered by UnitedHealthcare in Pennsylvania: Complete Guide to Prior Authorization, Appeals & Forms

Quick Answer: Getting Ultomiris Covered by UnitedHealthcare in Pennsylvania To get Ultomiris (ravulizumab) covered by UnitedHealthcare in Pennsylvania, you'll need prior authorization through OptumRx. The fastest path: 1) Have your doctor submit a PA request via the UnitedHealthcare provider portal with complete clinical documentation, 2) Include proof of
6 min read

If Ultomiris (Ravulizumab) Isn't Approved by UnitedHealthcare in Michigan: Formulary Alternatives & Exception Strategies

Quick Answer: Your Options When Ultomiris Is Denied If UnitedHealthcare denies Ultomiris (ravulizumab) in Michigan, you have three main paths: try a formulary alternative like Soliris (eculizumab), request a formulary exception with medical necessity documentation, or pursue a formal appeal. Your fastest option is often requesting a peer-to-peer review where
6 min read

Renewing Ultomiris (Ravulizumab) Coverage with UnitedHealthcare in Texas: Annual Reapproval Guide and Timeline

Answer Box: Renewing Ultomiris Coverage with UnitedHealthcare in Texas UnitedHealthcare requires annual prior authorization renewal for Ultomiris (ravulizumab) with updated clinical documentation proving continued medical necessity. Start the renewal process 60-90 days before your current approval expires. Submit through the UnitedHealthcare Provider Portal with current lab results, treatment response data,
6 min read