Topic

Virginia

A collection of 395 issues

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

Getting Rezlidhia (Olutasidenib) Covered by Aetna CVS Health in Virginia: Complete Guide to Prior Authorization, Appeals, and Patient Rights

Answer Box: Your Path to Coverage Rezlidhia (olutasidenib) requires prior authorization from Aetna CVS Health in Virginia. You're eligible if you have relapsed/refractory AML with a confirmed IDH1 mutation. Fastest path: Have your oncologist submit PA documentation including IDH1 test results, prior treatment history, and medical necessity
5 min read

How to Get Firazyr (icatibant) Covered by Blue Cross Blue Shield in Virginia: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Firazyr Covered in Virginia Firazyr (icatibant) requires prior authorization from Blue Cross Blue Shield Virginia. Your fastest path to approval: (1) Have your doctor document confirmed HAE diagnosis with C4 and C1-INH lab results, (2) Complete self-injection training with healthcare professional documentation, and (3) Submit PA request
6 min read

How to Get Opsumit (Macitentan) Covered by Aetna CVS Health in Virginia: Complete Prior Authorization and Appeals Guide 2025

Answer Box: Getting Opsumit Covered in Virginia Opsumit (macitentan) requires prior authorization from Aetna CVS Health for pulmonary arterial hypertension (PAH). Key steps: 1) Have your PAH specialist document WHO Group 1 PAH diagnosis with NYHA/WHO functional class, 2) Complete step therapy requirements (typically ambrisentan or bosentan trial), and
7 min read

Get Juxtapid (Lomitapide) Covered by Cigna in Virginia: Complete Guide to Prior Authorization, Appeals, and Cost Assistance

Answer Box: Getting Juxtapid Covered by Cigna in Virginia Yes, Cigna covers Juxtapid (lomitapide) in Virginia with prior authorization for homozygous familial hypercholesterolemia (HoFH). The fastest path to approval requires: (1) genetic or clinical HoFH documentation, (2) proof of failed PCSK9 inhibitor therapy, (3) baseline liver function tests, and (4)
5 min read

How to Get Fintepla (fenfluramine) Covered by Humana in Virginia: Prior Authorization Forms, Appeals, and Step-by-Step Guide

Quick Answer: Getting Fintepla Covered by Humana in Virginia To get Fintepla (fenfluramine) covered by Humana in Virginia, you need prior authorization with specific documentation: confirmed Dravet syndrome or Lennox-Gastaut syndrome diagnosis, evidence of at least two failed antiseizure medications, baseline echocardiogram results, and enrollment in the FDA REMS program.
6 min read