Topic

Waylivra (volanesorsen)

A collection of 14 issues

Coding That Helps Get Waylivra (volanesorsen) Approved in California with Blue Cross Blue Shield (ICD-10, HCPCS/J-Code, NDC)

Answer Box: Getting Waylivra Coded and Covered Waylivra (volanesorsen) requires precise coding for Blue Cross Blue Shield California approval. Use ICD-10 E78.3 (Hyperchylomicronemia) for familial chylomicronemia syndrome. Bill under J3490/J3590 (miscellaneous codes) for medical benefit or NDC 72063-013-01 for pharmacy benefit. Document genetic confirmation of FCS, triglyceride levels

Resources to Get Waylivra (Volanesorsen) Approved by UnitedHealthcare in Virginia: Forms, Appeals & Access Options

Answer Box: Getting Waylivra Covered by UnitedHealthcare in Virginia Waylivra (volanesorsen) is not FDA-approved in the United States and is not covered by UnitedHealthcare's standard formularies. However, patients with familial chylomicronemia syndrome (FCS) may pursue coverage through: 1. Medical necessity appeals with comprehensive FCS documentation 2. Expanded access

How to Get Waylivra (Volanesorsen) Covered by Humana in Virginia: Timeline, Appeals, and Success Strategies

Answer Box: Quick Path to Coverage Important note: Waylivra (volanesorsen) is not FDA-approved in the United States for familial chylomicronemia syndrome (FCS), despite European approval. This means standard insurance coverage through Humana is not available. However, if you're seeking coverage for off-label use or through expanded access programs,

How to Get Waylivra (Volanesorsen) Covered by Humana in Georgia: Forms, Appeals, and Success Strategies

Quick Answer: Getting Waylivra Covered by Humana in Georgia Waylivra (volanesorsen) requires prior authorization from Humana for familial chylomicronemia syndrome (FCS). The fastest path: 1) Confirm your FCS diagnosis meets criteria (persistent triglycerides ≥880 mg/dL, genetic testing), 2) Submit Humana's PA form via fax (502-508-9300) or phone