Topic

Uptravi (selexipag)

A collection of 33 issues

How to Get Uptravi (Selexipag) Covered by UnitedHealthcare in New York: Complete Prior Authorization & Appeals Guide

Answer Box: Getting Uptravi Covered by UnitedHealthcare in New York Uptravi (selexipag) requires prior authorization from UnitedHealthcare for pulmonary arterial hypertension (PAH) patients in New York. Your fastest path to approval: 1. Confirm WHO Group I PAH diagnosis with right heart catheterization results 2. Document step therapy (failed PDE5 inhibitors

How Long Does It Take to Get Uptravi (Selexipag) Approved by Blue Cross Blue Shield in Georgia? Timeline & Milestones

Answer Box: Uptravi Approval Timeline in Georgia Blue Cross Blue Shield Georgia typically processes Uptravi (selexipag) prior authorization requests within 5-7 business days for standard reviews, or 72 hours for expedited cases. Success depends on complete documentation of WHO Group I PAH diagnosis, background therapy failures, and specialist prescriber credentials.

How to Get Uptravi (Selexipag) Covered by Aetna CVS Health in Texas: Complete PA Guide and Appeals Process

Answer Box: Getting Uptravi (Selexipag) Covered by Aetna CVS Health in Texas Eligibility: Aetna CVS Health requires prior authorization for Uptravi (selexipag) with strict documentation: WHO Group I PAH diagnosis, right heart catheterization results, functional class II-IV status, and failure of 2+ oral PAH therapies (60 days each). Fastest path:

How to Get Uptravi (Selexipag) Covered by UnitedHealthcare in Washington: Forms, Appeals & Contacts

Answer Box: Getting Uptravi Covered by UnitedHealthcare in Washington UnitedHealthcare requires prior authorization for Uptravi (selexipag) in Washington. The fastest path to approval: 1) Verify your plan's formulary status and PA requirements through the UnitedHealthcare provider portal, 2) Submit complete clinical documentation including confirmed WHO Group I PAH

Coding That Helps Get Uptravi (selexipag) Approved by Aetna (CVS Health) in North Carolina: ICD-10, J-Codes & NDC Requirements

Answer Box Getting Uptravi (selexipag) covered by Aetna (CVS Health) in North Carolina requires precise coding and comprehensive documentation. Use ICD-10 codes I27.0 (primary PAH) or I27.21 (secondary PAH) with WHO Group I confirmation via right heart catheterization. Bill IV formulations using J3490 + NDC on medical benefit; oral

If Uptravi (Selexipag) Isn't Approved by UnitedHealthcare in North Carolina: Formulary Alternatives & Exception Paths

Answer Box: When UnitedHealthcare Denies Uptravi (Selexipag) in North Carolina UnitedHealthcare requires step therapy before approving Uptravi (selexipag) for pulmonary arterial hypertension. You'll need to try formulary alternatives first—typically PDE5 inhibitors (sildenafil, tadalafil) or endothelin receptor antagonists (ambrisentan, bosentan)—unless you qualify for an exception. If denied

How to Get Uptravi (Selexipag) Covered by UnitedHealthcare in Texas: Complete Guide to Prior Authorization, Appeals, and Approval

Answer Box: Getting Started To get Uptravi (selexipag) covered by UnitedHealthcare in Texas: Your doctor submits a prior authorization through the UnitedHealthcare Provider Portal or by calling 888-397-8129. You'll need documented WHO Group I PAH diagnosis, functional class II-IV status, and evidence of step therapy compliance or contraindications

How to Get Uptravi (selexipag) Covered by Blue Cross Blue Shield of North Carolina: Forms, Appeals, and Success Timeline

Quick Answer: Getting Uptravi Covered by Blue Cross Blue Shield of North Carolina Uptravi (selexipag) requires prior authorization from Blue Cross Blue Shield of North Carolina (BCBSNC). The fastest path: 1) Have your doctor submit a PA request through the Blue e provider portal with complete PAH documentation, 2) Use

How to Get Uptravi (Selexipag) Covered by UnitedHealthcare in Ohio: Complete Guide with Forms, Appeals & Contact Info

Answer Box: Getting Uptravi Covered by UnitedHealthcare in Ohio UnitedHealthcare requires prior authorization for Uptravi (selexipag) in Ohio through OptumRx. The fastest path to approval: (1) Submit PA request via the UnitedHealthcare Provider Portal with complete PAH documentation, (2) Include WHO Group I PAH diagnosis, functional class, and prior therapy

How to Get Uptravi (Selexipag) Covered by Humana in California: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Uptravi (Selexipag) Covered by Humana in California Humana requires prior authorization for Uptravi (selexipag) for pulmonary arterial hypertension (PAH). To get approved: 1) Have your PAH specialist complete Humana's prior authorization form with WHO Group I PAH diagnosis via right heart catheterization, 2) Document trials/