Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 1127 issues

How to Get Tavalisse Covered by UnitedHealthcare in Pennsylvania: Complete PA Guide with Forms and Appeal Scripts

Answer Box: Getting Tavalisse Covered by UnitedHealthcare in Pennsylvania UnitedHealthcare requires prior authorization and step therapy for Tavalisse (fostamatinib) in Pennsylvania. You need a hematologist to prescribe it, documented failure of corticosteroids and a TPO receptor agonist, and platelet counts typically below 30,000/μL. Submit via the UHC Provider
4 min read

How to Get Strensiq (Asfotase Alfa) Covered by UnitedHealthcare in Virginia: Complete Prior Authorization Guide

Answer Box: Getting Strensiq Covered by UnitedHealthcare in Virginia UnitedHealthcare requires prior authorization for Strensiq (asfotase alfa) with strict medical necessity criteria. You'll need confirmed pediatric-onset hypophosphatasia, low serum alkaline phosphatase levels, genetic testing results, and prescription by an endocrinologist. Submit via the OptumRx Provider Portal or call
6 min read

Get Orladeyo (berotralstat) Approved by UnitedHealthcare in Virginia: Complete Guide to Prior Authorization, Appeals, and Coverage

Answer Box: Getting Orladeyo (berotralstat) Covered by UnitedHealthcare in Virginia Orladeyo requires prior authorization from UnitedHealthcare and is subject to step therapy requirements. Most patients must try and fail other HAE prophylaxis drugs first. The fastest path to approval: (1) Have your HAE specialist complete UnitedHealthcare's prior authorization
6 min read

How to Get Onpattro (patisiran) Covered by UnitedHealthcare in Pennsylvania: Complete PA Guide with Appeal Scripts

Answer Box: Getting Onpattro Covered by UnitedHealthcare in Pennsylvania UnitedHealthcare requires prior authorization for Onpattro (patisiran) but does NOT require step therapy with other hATTR treatments first. Key requirements: genetic confirmation of pathogenic TTR mutation, neurologist evaluation, disease staging (mNIS+7 or equivalent), and no concurrent RNA interference agents. If
6 min read

Myths vs. Facts: Getting Idelvion (albutrepenonacog alfa; rFIX-FP) Covered by UnitedHealthcare in Georgia

Answer Box Getting Idelvion (albutrepenonacog alfa; rFIX-FP) covered by UnitedHealthcare in Georgia requires prior authorization through OptumRx, often with step therapy requirements. The fastest path: gather factor IX deficiency documentation, prior therapy failures, and medical necessity letter from your hematologist. Submit via the UHC provider portal or call 1-800-711-4555. If
5 min read

How Long Does It Take to Get Brensocatib (BRINSUPRI) Approved by UnitedHealthcare in Washington? Timeline & Appeal Guide

Quick Answer: Brensocatib (BRINSUPRI) Approval Timeline for UnitedHealthcare in Washington Standard timeline: 1-5 business days for prior authorization decisions once complete documentation is submitted. UnitedHealthcare requires prior authorization for Brensocatib with step therapy requirements (macrolide trial, airway clearance therapy). Expedited requests: 48-72 hours for life-threatening conditions. First step today: Gather
5 min read

Getting Rylaze Covered by UnitedHealthcare in Virginia: Prior Authorization Guide and Appeal Process

Answer Box: Getting Rylaze Approved by UnitedHealthcare in Virginia Rylaze requires prior authorization from UnitedHealthcare with documented hypersensitivity to E. coli asparaginase. Key requirements: ALL/LBL diagnosis, oncologist prescription, evidence of allergic reaction to pegaspargase or similar drugs. First step today: Have your oncologist gather hypersensitivity documentation and submit PA
6 min read