Topic

Cigna

A collection of 125 issues

How to Get Oxbryta (Voxelotor) Covered by Cigna in New York: 2024 Withdrawal Update and Alternative Paths

Answer Box: Critical Update on Oxbryta (Voxelotor) Coverage Important: Oxbryta (voxelotor) was voluntarily withdrawn from the U.S. market by Pfizer in September 2024 due to safety concerns and insufficient clinical benefit. The drug is no longer FDA-approved and cannot be prescribed or covered by any U.S. insurer, including

How to Get Jakafi (Ruxolitinib) Covered by Cigna in Florida: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Jakafi (Ruxolitinib) Covered by Cigna in Florida Jakafi (ruxolitinib) requires prior authorization through Cigna/Express Scripts for myelofibrosis and polycythemia vera. In Florida, you have 180 days to appeal denials internally, then 4 months for external review through the Florida Department of Financial Services. First step today:

Renewing Brineura (Cerliponase Alfa) Approval with Cigna in Virginia: 2025 Guide to Documentation, Timelines, and Appeals

Answer Box: Renewing Your Brineura Coverage with Cigna in Virginia Cigna typically authorizes Brineura (cerliponase alfa) for 6-month periods and requires comprehensive renewal documentation including updated clinical notes, device status reports, and evidence of ongoing benefit. Start your renewal application 30-60 days before expiration to avoid therapy gaps. Required documents

Do You Qualify for Hemlibra Coverage by Cigna in North Carolina? Decision Tree & Next Steps

Answer Box: Qualifying for Hemlibra Coverage by Cigna in North Carolina You likely qualify if you have confirmed hemophilia A, documented bleeding episodes, and a hematology specialist's prescription. Fastest path: Have your doctor submit prior authorization through Cigna's provider portal with diagnosis proof, inhibitor status testing,

How to Get Cabometyx (Cabozantinib) Covered by Cigna in Virginia: Complete Guide to Prior Authorization, Appeals, and State Protections

Quick Answer: To get Cabometyx (cabozantinib) covered by Cigna in Virginia, your doctor must submit a prior authorization through CoverMyMeds or ExpressPAth within 72 hours for standard review (24 hours if expedited). If denied, file an internal appeal within 180 days, then request external review through Virginia's Bureau

Getting Ruconest Covered by Cigna in Texas: Prior Authorization, Appeals & Patient Assistance Guide

Quick Answer: Ruconest requires prior authorization from Cigna with documented HAE diagnosis, attack history, and clinical justification. Start with your doctor submitting a PA request through Express Scripts. If denied, you have 180 days to appeal internally, then request external review through Texas Department of Insurance. Apply for manufacturer copay

Getting Evkeeza (Evinacumab-dgnb) Covered by Cigna in Michigan: Prior Authorization, Appeals, and Cost Assistance

Answer Box: Fast Track to Evkeeza Coverage in Michigan To get Evkeeza (evinacumab-dgnb) covered by Cigna in Michigan: Your doctor must submit prior authorization with confirmed HoFH diagnosis (genetic testing or clinical criteria), documentation of failed therapies (statin, ezetimibe, PCSK9 inhibitor), and recent LDL-C levels. Submit through Cigna's

How Long Does It Take to Get Oxlumo (Lumasiran) Approved by Cigna in New Jersey? Complete Timeline Guide

Answer Box: Getting Oxlumo (Lumasiran) Approved by Cigna in New Jersey Timeline: Cigna typically reviews Oxlumo (lumasiran) prior authorization requests within 1-3 business days through Express Scripts. First step: Have your nephrologist or urologist submit genetic confirmation of PH1 (AGXT gene mutations), baseline urinary oxalate levels, and clinical documentation. If

Getting Vyndaqel/Vyndamax (Tafamidis) Covered by Cigna in Ohio: Coding, Appeals, and Documentation Guide

Answer Box: Fast Track to Coverage Getting Vyndaqel/Vyndamax covered by Cigna in Ohio requires: (1) Confirmed ATTR-CM diagnosis with PYP scan or biopsy, (2) NYHA Class I-III heart failure documentation, and (3) cardiology specialist prescription. First step today: Have your cardiologist submit Cigna's prior authorization form with

How to Get Eylea and Lucentis Covered by Cigna in Ohio: Complete Coding, Appeals, and Authorization Guide

Answer Box: Getting Eylea/Lucentis Covered by Cigna in Ohio Cigna requires prior authorization for Eylea (aflibercept) and Lucentis (ranibizumab) in Ohio, typically mandating bevacizumab (Avastin) step therapy first. Submit PA requests via CoverMyMeds or fax to 1-866-873-8279 with complete ICD-10 codes (H35.32_ for wet AMD, E11.3_ for