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The intent of this policy/guideline is to provide information to the prescribing practitioner outlining the coverage criteria for Soliris under the patient’s prescription drug benefit.
Precertification of eculizumab (Soliris) is required of all Aetna participating providers and members in applicable plan designs. For precertification of eculizumab, call (866) 752-7021 or fax (888) …
The intent of this policy/guideline is to provide information to the prescribing practitioner outlining the coverage criteria for Soliris under the patient’s prescription drug benefit.
Jan 1, 2016 · For Aetna Medicare members, National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) will be applied to Part B drug requests when applicable. Aetna …
Some medically administered Part B drugs may have extra requirements or limits on coverage. These may include step therapy. This is when we require you to first try certain preferred drugs …
Medicare Part A and Part B do not require PA for beneficiaries to receive SOLIRIS. However, you should always verify benefits before ordering SOLIRIS and initiating treatment.
See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations, and conditions of coverage. Plan features and availability may vary by service area. The formulary …
The intent of this policy/guideline is to provide information to the prescribing practitioner outlining the coverage criteria for Soliris under the patient’s prescription drug benefit.
See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations, and conditions of coverage. Plan features and availability may vary by service area. The formulary …
Precertification of eculizumab (Soliris), eculizumab-aeeb (Bkemv), or eculizumab-aagh (Epysqli) is required of all Aetna participating providers and members in applicable plan designs. For …
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