Topic

Zokinvy (lonafarnib)

A collection of 30 issues

How to Get Zokinvy (lonafarnib) Covered by Cigna in Virginia: Complete PA Guide with Appeal Templates

Answer Box: Getting Zokinvy (lonafarnib) Approved by Cigna in Virginia Cigna covers Zokinvy (lonafarnib) for HGPS and processing-deficient progeroid laminopathies through Express Scripts with prior authorization. Coverage requires patient age ≥12 months, BSA ≥0.39 m², genetic confirmation of pathogenic LMNA variant, and prescription by a geneticist or pediatric cardiologist.

Coding That Helps Get Zokinvy (Lonafarnib) Approved in Illinois with Aetna (CVS Health): ICD-10, HCPCS/J-Code, NDC

Answer Box Zokinvy (lonafarnib) requires prior authorization from Aetna (CVS Health) using ICD-10 code E34.8 (progeria), HCPCS J8499, and specific NDCs (60923-0544-53, 73079-0050-30). Submit genetic confirmation, BSA calculations, and specialist oversight through CVS Specialty Pharmacy. Illinois residents have 4 months to file external appeals through the Illinois Department of

How to Get Zokinvy (lonafarnib) Covered by Aetna in Texas: Complete PA Guide with Appeals Process

Answer Box: Getting Zokinvy Covered by Aetna in Texas Zokinvy (lonafarnib) requires prior authorization from Aetna with specialty pharmacy dispensing through CVS Specialty. Submit PA with genetic confirmation (LMNA variant for HGPS), baseline ECG showing QTc ≤500ms, and specialist documentation. If denied, Texas law provides internal appeals (180 days) and

How to Get Zokinvy (Lonafarnib) Covered by UnitedHealthcare in Ohio: Complete PA Guide with Appeals Process

Answer Box: Getting Zokinvy Covered by UnitedHealthcare in Ohio UnitedHealthcare requires prior authorization (PA) for Zokinvy (lonafarnib) in Ohio with approval based on confirmed HGPS or processing-deficient progeroid laminopathy diagnosis in patients ≥12 months old with body surface area ≥0.39 m². Submit PA via the UHC Provider Portal with

How to Get Zokinvy (Lonafarnib) Covered by Blue Shield of California: PA Requirements, Appeals & Success Strategies

Answer Box: Your Fastest Path to Zokinvy Coverage Blue Shield of California covers Zokinvy (lonafarnib) as a specialty drug requiring prior authorization. You need confirmed HGPS or progeroid laminopathy diagnosis via genetic testing, patient age ≥12 months, BSA ≥0.39 m², and dispensing through their network specialty pharmacy like CVS

The Requirements Checklist to Get Zokinvy (lonafarnib) Covered by Blue Cross Blue Shield in New York

Answer Box Getting Zokinvy (lonafarnib) covered by Blue Cross Blue Shield in New York requires prior authorization with genetic confirmation of HGPS or processing-deficient progeroid laminopathies. Submit via Availity Essentials or your plan's provider portal with genetic test results, specialist prescription, and BSA calculation (≥0.39 m²). If

How to Get Zokinvy (lonafarnib) Covered by Aetna (CVS Health) in Ohio: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Zokinvy (lonafarnib) Covered by Aetna (CVS Health) in Ohio Zokinvy (lonafarnib) requires prior authorization from Aetna (CVS Health) and must be dispensed through CVS Specialty Pharmacy. Key requirements include genetic confirmation of HGPS or progeroid laminopathy, patient age ≥12 months with BSA ≥0.39 m², and specialist

How to Get Zokinvy (lonafarnib) Covered by UnitedHealthcare in Virginia: Complete PA Guide with Appeal Scripts

Answer Box: Getting Zokinvy Covered by UnitedHealthcare in Virginia Zokinvy (lonafarnib) requires prior authorization from UnitedHealthcare and is typically non-formulary, requiring a coverage exception. The fastest path: 1) Submit PA through the UHC Provider Portal with genetic confirmation of HGPS/progeroid laminopathy, 2) Include medical necessity letter citing FDA approval

How to Get Zokinvy (lonafarnib) Covered by UnitedHealthcare in New York: Complete Appeal Guide

Quick Answer: Getting Zokinvy Covered by UnitedHealthcare in New York UnitedHealthcare requires prior authorization for Zokinvy (lonafarnib) with specific genetic testing requirements. For HGPS patients, you need confirmed diagnosis only. For progeroid laminopathies, you must document heterozygous LMNA mutation with progerin-like protein accumulation OR homozygous/compound heterozygous ZMPSTE24 mutations. Submit

How to Get Zokinvy (lonafarnib) Covered by Aetna (CVS Health) in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Zokinvy (lonafarnib) Covered by Aetna (CVS Health) in New York Zokinvy requires prior authorization from Aetna (CVS Health) with genetic confirmation of HGPS or qualifying progeroid laminopathy, age ≥12 months, BSA ≥0.39 m², and specialist management. Standard decisions take 15 business days; expedited reviews complete within