Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 1123 issues

Taltz (ixekizumab) Approval with UnitedHealthcare in New York: Complete Guide with Forms, Appeals, and Patient Scripts

Quick Answer: Getting Taltz (ixekizumab) Covered by UnitedHealthcare in New York Yes, UnitedHealthcare covers Taltz (ixekizumab) in New York, but requires prior authorization with documented step therapy failure. You must first try preferred biologics like Humira or Enbrel, plus complete TB screening. Fastest path: Have your dermatologist or rheumatologist submit
7 min read

How to Get Aldurazyme (laronidase) Covered by UnitedHealthcare in Georgia: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Aldurazyme Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Aldurazyme (laronidase) with specific documentation: confirmed MPS I diagnosis via genetic/enzyme testing, correct dosing (0.58 mg/kg weekly), and specialist attestation. If denied, you have 180 days for internal appeals, then 60 days for
6 min read

Renewing Arikayce Approval with UnitedHealthcare in Ohio: Documentation Requirements and Timeline Guide

Answer Box: Renewing Arikayce Coverage in Ohio UnitedHealthcare requires annual reauthorization for Arikayce (amikacin liposome inhalation) in Ohio. Start your renewal 30-60 days before expiration with negative sputum cultures or physician attestation of continued benefit, current susceptibility testing, and evidence of ongoing combination therapy. Submit through the OptumRx Provider Portal
5 min read

How to Get Oxlumo (lumasiran) Covered by UnitedHealthcare in Michigan: Appeals Guide with Forms and Timelines

Quick Answer: Getting Oxlumo Covered by UnitedHealthcare in Michigan Oxlumo (lumasiran) requires prior authorization from UnitedHealthcare for primary hyperoxaluria type 1 (PH1). Your fastest path: Have your nephrologist submit a comprehensive PA request with genetic PH1 confirmation, baseline urinary oxalate levels, and medical necessity documentation through the UnitedHealthcare provider portal.
6 min read

Get Tepezza (Teprotumumab) Covered by UnitedHealthcare in North Carolina: Forms, Appeals & Step-by-Step Guide

Answer Box: Your Fastest Path to Approval To get Tepezza (teprotumumab) covered by UnitedHealthcare in North Carolina, you need prior authorization with specific clinical documentation. Submit your PA request through the UnitedHealthcare Provider Portal or use the North Carolina-specific pharmacy prior authorization form. Required: moderate-to-severe thyroid eye disease diagnosis by
5 min read

How to Get Zolgensma Covered by UnitedHealthcare in New York: Prior Authorization, Appeals, and Cost-Saving Strategies

Answer Box: Getting Zolgensma Covered by UnitedHealthcare in New York Fastest Path to Approval: UnitedHealthcare requires prior authorization for Zolgensma with genetic confirmation, anti-AAV9 antibody testing (≤1:50), and documentation of failed alternative therapies or contraindications. Submit through OptumRx with complete medical records. If denied, file internal appeal within 180
6 min read

Renewing Sumavel DosePro Coverage with UnitedHealthcare in Michigan: Timeline, Documentation, and Appeal Rights

Quick Answer: Renewing Your Sumavel DosePro Coverage Important note: Sumavel DosePro has been discontinued by the manufacturer, but this guide applies to similar sumatriptan injection renewals. Start your UnitedHealthcare renewal process 60-90 days before expiration. You'll need updated clinical documentation, migraine diary records, and evidence of continued therapeutic
6 min read