Topic

Uplizna (inebilizumab)

A collection of 31 issues

How to Get Uplizna (Inebilizumab) Covered by Aetna CVS Health in New Jersey: Complete Prior Authorization Guide

Answer Box: Getting Uplizna Covered in New Jersey For AQP4-positive NMOSD or IgG4-related disease patients: Aetna CVS Health requires prior authorization for all Uplizna prescriptions. Your neurologist must submit documentation showing AQP4-antibody positive status, previous treatment failures, and hepatitis B screening results. Standard decisions take 5-7 business days; expedited reviews
5 min read

How to Get Uplizna (Inebilizumab) Covered by UnitedHealthcare in New Jersey: Prior Authorization, Appeals, and State Protections

Answer Box: Getting Uplizna Covered by UnitedHealthcare in New Jersey Uplizna (inebilizumab) requires prior authorization from UnitedHealthcare for both NMOSD and IgG4-related disease. Submit through the UnitedHealthcare Provider Portal with specialist documentation, AQP4-IgG test results, and prior treatment history. If denied, you have 180 days to appeal internally, then can
5 min read

The Requirements Checklist to Get Uplizna (inebilizumab) Covered by Blue Cross Blue Shield in Texas: Complete Prior Authorization Guide

Answer Box: Getting Uplizna Covered by BCBS Texas Uplizna (inebilizumab) requires prior authorization from Blue Cross Blue Shield of Texas for both NMOSD and IgG4-RD. The fastest path to approval: (1) Confirm AQP4-IgG positive status via cell-based assay for NMOSD or histologic confirmation for IgG4-RD, (2) Document failed conventional therapies
7 min read

How to Get Uplizna (inebilizumab) Covered by UnitedHealthcare in Georgia: Coding, Appeals, and Prior Authorization Guide

Quick Answer: Getting Uplizna Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Uplizna (inebilizumab) in Georgia with step therapy requirements. For NMOSD patients, document AQP4-IgG positivity and rituximab failure. For IgG4-RD patients, show glucocorticoid inadequacy. Use ICD-10 code G36.0 (NMOSD) or D89.84 (IgG4-RD), HCPCS J1823, and
5 min read

How to Get Uplizna (Inebilizumab) Covered by Aetna CVS Health in California: Prior Authorization, Appeals, and State Protections Guide

Answer Box: Getting Uplizna (Inebilizumab) Covered by Aetna CVS Health in California Fast track to approval: Aetna requires prior authorization for Uplizna (inebilizumab) with proof of AQP4-positive NMOSD diagnosis and specialist involvement. California law provides strong appeal rights—including Independent Medical Review (IMR) with 68% success rates for specialty drugs
5 min read

How to Get Uplizna (Inebilizumab) Covered by Cigna in Texas: Complete Guide to Prior Authorization, Appeals, and Approval Strategies

Answer Box: Getting Uplizna (Inebilizumab) Covered by Cigna in Texas Uplizna (inebilizumab) requires prior authorization from Cigna and is typically covered for AQP4-positive NMOSD when prescribed by a neurologist with documented step therapy. Your fastest path: (1) Have your neurologist submit a prior authorization through CoverMyMeds or Cigna's
6 min read

How to Get Uplizna (inebilizumab) Covered by UnitedHealthcare in Florida: Prior Authorization, Appeals, and Cost Assistance

Answer Box: Getting Uplizna Coverage in Florida Uplizna (inebilizumab) requires prior authorization from UnitedHealthcare in Florida. To get approved: (1) Your doctor submits a PA request through the UnitedHealthcare Provider Portal with diagnosis confirmation (AQP4-positive NMOSD or IgG4-RD), specialist involvement, and HBV screening results, (2) if denied, file an internal
6 min read