Blue Cross Blue Shield Texas Coverage Criteria for Voydeya (Danicopan): What Counts as "Medically Necessary"?
Answer Box: Getting Voydeya Covered by Blue Cross Blue Shield Texas
Blue Cross Blue Shield of Texas (BCBSTX) requires prior authorization for Voydeya (danicopan) with specific medical necessity criteria: confirmed PNH diagnosis by flow cytometry, documented extravascular hemolysis on stable C5 inhibitor therapy (≥6 months), and completed vaccinations against encapsulated