Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 1268 issues

How Long Does It Take to Get Firazyr (Icatibant) Approved by UnitedHealthcare in Texas? Complete Timeline & Appeals Guide

Answer Box: Getting Firazyr Approved by UnitedHealthcare in Texas UnitedHealthcare requires prior authorization for Firazyr (icatibant) with a 24-hour standard decision timeline in Texas. You'll need confirmed hereditary angioedema (HAE) diagnosis with lab results, prescription from an immunologist or allergist, and attack history documentation. If denied, Texas offers
6 min read

Renewing Approval for Pombiliti with UnitedHealthcare in Ohio: What to Prepare & When

Answer Box: Renewing Pombiliti Coverage with UnitedHealthcare in Ohio UnitedHealthcare requires reauthorization for Pombiliti (cipaglucosidase alfa-atga) every 12 months, with renewal applications due 30-60 days before expiration. Ohio residents must demonstrate continued clinical improvement through functional assessments and maintain concurrent Opfolda therapy. Start your renewal process 60 days early by
8 min read

How to Get Mavenclad (Cladribine Tablets) Covered by UnitedHealthcare in Georgia: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Mavenclad Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Mavenclad (cladribine) with step therapy requiring documented failure of at least one other MS therapy. Key requirements: lymphocyte count ≥800 cells/μL, complete blood count within 30 days, and confirmation you haven't exceeded the
6 min read

How to Get Rebif (Interferon Beta-1a) Covered by UnitedHealthcare in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Rebif Covered by UnitedHealthcare in Texas UnitedHealthcare requires prior authorization for Rebif (interferon beta-1a) through OptumRx, often with step therapy requirements. Fastest path: Have your neurologist submit a PA request via the UnitedHealthcare Provider Portal with complete MS documentation (diagnosis, MRI reports, relapse history). If denied, file
6 min read

How Long Does It Take to Get Tegsedi (Inotersen) Approved by UnitedHealthcare in Illinois? Complete Timeline & Appeals Guide

Answer Box: Getting Tegsedi Approved by UnitedHealthcare in Illinois Timeline: 3-15 business days for standard prior authorization once all documentation is complete. UnitedHealthcare requires prior authorization for Tegsedi (inotersen) with specific criteria for hATTR polyneuropathy. First step today: Verify your plan coverage at myuhc.com and ensure REMS enrollment is
5 min read

How to Get Hemgenix Covered by UnitedHealthcare in New Jersey: Complete PA Guide with Appeal Scripts

Answer Box: Getting Hemgenix Covered by UnitedHealthcare in New Jersey UnitedHealthcare requires prior authorization for Hemgenix (etranacogene dezaparvovec) with strict eligibility criteria: age ≥18, Factor IX activity ≤2%, negative inhibitors, ≥50 exposure days, and treatment at an approved Hemophilia Treatment Center. Submit through OptumRx with complete baseline documentation. If denied,
6 min read