How to Get Orfadin (nitisinone) Covered by Cigna in California: Complete Prior Authorization and Appeals Guide
Answer Box: Getting Orfadin (nitisinone) Covered by Cigna in California
Cigna requires prior authorization for Orfadin (nitisinone) with confirmed hereditary tyrosinemia type 1 diagnosis, metabolic specialist involvement, and dietary restriction plan. In California, if denied, you can appeal internally (30 days) then request Independent Medical Review through DMHC with 55%