Sign In
Coverage
Check coverage
Home
Spinraza
University of Utah Health Plans (MCO)
University of Utah Health Plans (MCO) Coverage for Spinraza
Filter plans by coverage channel
All
5
Commercial
3
Health Exchange
1
Managed Medicaid
1
Commercial
Commercial - HMO
PA Required
Step Therapy
No Quantity Limit
See Details
Commercial - PPO
PA Required
Step Therapy
No Quantity Limit
See Details
Commercial - Employer
PA Required
Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Spinraza
Find savings
Copay cards and patient assistance programs.
Get prior authorization forms
Download payer-specific forms and appeal templates.