Topic

Virginia

A collection of 237 issues

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

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