Topic

Zolgensma (onasemnogene abeparvovec)

A collection of 28 issues

How to Get Zolgensma Covered by Aetna CVS Health in North Carolina: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Zolgensma Covered by Aetna CVS Health in North Carolina Zolgensma requires strict prior authorization from Aetna CVS Health. Your child must be under 24 months old with confirmed bi-allelic SMN1 mutations and anti-AAV9 antibody titers ≤1:50. Submit complete documentation to CVS Specialty at 1-888-267-3277. Standard decisions

Getting Zolgensma Covered by Blue Cross Blue Shield in Washington: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Zolgensma Covered by Blue Cross Blue Shield in Washington Zolgensma (onasemnogene abeparvovec) is covered by Blue Cross Blue Shield plans in Washington with prior authorization. Key requirements: child under 2 years old, confirmed bi-allelic SMN1 mutations, SMN2 copy number ≤4, and anti-AAV9 antibody titer ≤1:50. Fastest

How Long Does It Take to Get Zolgensma Covered by UnitedHealthcare in North Carolina? Complete Timeline & Approval Guide

Answer Box: Getting Zolgensma Approved in North Carolina UnitedHealthcare typically takes 15 calendar days to review Zolgensma prior authorization requests, with expedited decisions within 72 hours for urgent cases. The key requirements are genetic confirmation of SMN1 mutations and treatment before age 2. If denied, North Carolina residents can appeal

Getting Zolgensma (Onasemnogene Abeparvovec) Covered by Aetna CVS Health in Virginia: Complete Guide to Prior Authorization, Appeals, and Cost Assistance

Quick Answer: Aetna CVS Health requires prior authorization for Zolgensma with strict age limits (under 2 years), genetic confirmation of bi-allelic SMN1 mutations, and anti-AAV9 antibody titers ≤1:50. If denied, Virginia residents have 60 days for internal appeals and 120 days for external review through the State Corporation Commission.

How to Get Zolgensma (Onasemnogene Abeparvovec) Covered by Humana in North Carolina: Complete Prior Authorization Guide

Quick Answer: Humana requires prior authorization for Zolgensma (onasemnogene abeparvovec) in North Carolina with strict age (<2 years), genetic testing, and clinical documentation requirements. Submit through Humana's provider portal with complete SMN1 testing, anti-AAV9 titers, and specialist consultation. If denied, use North Carolina's Smart NC

How to Get Zolgensma Approved by UnitedHealthcare in New York: Complete Prior Authorization Guide

Answer Box: Getting Zolgensma Covered by UnitedHealthcare in New York Zolgensma requires prior authorization from UnitedHealthcare for SMA patients under 2 years old with confirmed SMN1 gene mutations. The fastest path: (1) Submit genetic testing results and clinical documentation through the UHC Provider Portal, (2) Request expedited review if medically

Work With Your Doctor to Get Zolgensma Covered by Blue Cross Blue Shield in Florida: Complete Provider Partnership Guide

Answer Box: Your Path to Zolgensma Approval in Florida Getting Zolgensma (onasemnogene abeparvovec) covered by Blue Cross Blue Shield in Florida requires close collaboration with your child's neurologist. Key requirements: child under 2 years old, confirmed bi-allelic SMN1 mutations, genetic testing documentation, and comprehensive clinical records. Fastest path:

How to Get Zolgensma Covered by Aetna in Texas: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Zolgensma Covered by Aetna in Texas Aetna requires prior authorization for Zolgensma (onasemnogene abeparvovec) in Texas. Your child must be under 2 years old with genetic confirmation of SMA (bi-allelic SMN1 mutations). The fastest path: 1) Have your neurologist submit prior authorization with genetic test results, 2)