Topic

Ultomiris (ravulizumab)

A collection of 30 issues

Getting Ultomiris (Ravulizumab) Covered by Aetna CVS Health in California: Forms, Appeals, and Alternative Options

Answer Box: Fast Track to Ultomiris Coverage To get Ultomiris (ravulizumab) covered by Aetna CVS Health in California: Submit the Ultomiris Precertification Request form with complete clinical documentation showing FDA-approved indication, failed alternatives, and vaccination records. If denied, file internal appeal within 60 days, then request California Independent Medical Review
6 min read

How to Get Ultomiris (Ravulizumab) Covered by Blue Cross Blue Shield in Michigan: Prior Authorization Forms, Timelines, and Appeals Guide

Answer Box: Quick Path to Ultomiris Approval in Michigan Blue Cross Blue Shield of Michigan requires prior authorization for Ultomiris (ravulizumab) under the medical benefit, with new step therapy requirements as of 2024. For commercial members, you must try an alternative therapy first; Medicare Advantage members need rituximab biosimilar trial
6 min read

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