Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 126 issues

How to Get Increlex (Mecasermin) Covered by UnitedHealthcare in Texas: Prior Authorization, Appeals, and Cost Savings

Answer Box: Getting Increlex Covered by UnitedHealthcare in Texas Increlex (mecasermin) requires prior authorization from UnitedHealthcare and must be dispensed through specific specialty pharmacies (Accredo, BriovaRx, CVS Specialty, or Walgreens Specialty). To get approved: 1. Submit prior authorization with documented severe primary IGF-1 deficiency diagnosis, growth charts, and lab results
5 min read

How to Get Thiola / Thiola EC (Tiopronin) Covered by UnitedHealthcare in Florida: Complete Coding, Appeals & Approval Guide

Answer Box: Getting Thiola/Thiola EC Covered by UnitedHealthcare in Florida Thiola (tiopronin) requires prior authorization from UnitedHealthcare OptumRx for cystinuria treatment. The fastest path to approval: 1) Ensure your provider documents cystinuria diagnosis (ICD-10: E72.01) with 24-hour urine cystine levels and stone history, 2) Submit prior authorization through
6 min read

The Requirements Checklist to Get Lumizyme (Alglucosidase Alfa) Covered by UnitedHealthcare in Virginia: Forms, Appeals, and Clinical Criteria

Answer Box: Getting Lumizyme Covered by UnitedHealthcare in Virginia Eligibility: Confirmed Pompe disease with genetic testing and enzyme deficiency. Fastest path: Submit prior authorization through UnitedHealthcare Provider Portal with complete diagnostic workup. First step today: Verify your plan's formulary status and gather enzyme activity results plus GAA gene
6 min read

How to Get Kuvan (Sapropterin) Covered by UnitedHealthcare in North Carolina: Forms, Appeals & Resources

Answer Box: Getting Kuvan Covered by UnitedHealthcare in North Carolina UnitedHealthcare requires prior authorization for Kuvan (sapropterin dihydrochloride) with specific medical necessity criteria. Your fastest path to approval: (1) Confirm your PKU diagnosis and phenylalanine-restricted diet documentation, (2) Submit the OptumRx prior authorization form through the UnitedHealthcare Provider Portal, and
6 min read

Denied for Adynovate by UnitedHealthcare in California? How to Appeal (Templates & Timelines)

Answer Box: Getting Adynovate Covered by UnitedHealthcare in California UnitedHealthcare requires prior authorization for Adynovate (bdanocog alfa pegol) with step therapy requirements. If denied, California residents can appeal through internal grievances, then request an Independent Medical Review (IMR) with high success rates for medically necessary treatments. First step today: Call
6 min read