MedicaidPrior AuthMedium impact
Loargys® (pegzilarginase-nbln) injection solution (New)
Humana·LA · Internal Medicine, Pediatrics, Genetics·Medicaid
We identified it
Jul 2, 2026
Summary
Loargys® (pegzilarginase-nbln) injection solution is a newly covered medication for Medicaid Louisiana members that requires prior authorization before administration. Billing teams must implement prior authorization verification workflows to ensure claims are not denied.
Action Required
Immediately: Billing team and clinical staff must identify all claims for Loargys® (pegzilarginase-nbln) injection and implement prior authorization verification before submission to Medicaid Louisiana. Contact Humana Medicaid Louisiana at the source URL (https://dctm.humana.com/Mentor/Web/v.aspx?objectID=090009298a56a5bc) to obtain complete prior authorization requirements, approval criteria, and documentation standards. Update billing system and encounter forms to flag this medication as requiring prior auth. Without prior authorization approval, Medicaid Louisiana will deny all claims for this medication.