Topic

Cigna

A collection of 1057 issues

How to Get Signifor / Signifor LAR (pasireotide) Covered by Cigna in Illinois: Prior Authorization, Appeals & Step Therapy Guide

Answer Box: Getting Signifor/Signifor LAR Covered by Cigna in Illinois Cigna requires prior authorization for all Signifor/Signifor LAR (pasireotide) prescriptions in Illinois. For acromegaly, you must first try octreotide or lanreotide; for Cushing's disease, document surgical failure or ineligibility. Your endocrinologist must submit detailed clinical evidence

How to Get Rebif (Interferon Beta-1a) Covered by Cigna in Washington: Prior Authorization Guide and Appeal Scripts

Answer Box: Getting Rebif Covered by Cigna in Washington Rebif (interferon beta-1a) requires prior authorization from Cigna, typically managed through Express Scripts/Accredo specialty pharmacy. The fastest path to approval: 1) Ensure your neurologist documents relapsing MS with proper ICD-10 codes (G35.A for RRMS, G35.C1 for active SPMS)

How to Get Opsumit (Macitentan) Covered by Cigna in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Opsumit (Macitentan) Covered by Cigna in Texas Fastest path to approval: Have your PAH specialist submit a prior authorization request through Cigna's provider portal with documentation of your PAH diagnosis, functional class, prior therapy failures, and REMS enrollment. Timeline: 72 hours for standard review, 24

How to Get Rebif (Interferon Beta-1a) Covered by Cigna in Illinois: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Rebif Covered by Cigna in Illinois Rebif (interferon beta-1a) requires prior authorization from Cigna and is subject to step therapy requirements. Treatment-naïve patients must first try dimethyl fumarate or fingolimod unless contraindicated. Your neurologist must document MS diagnosis with MRI activity, relapse history, and medical necessity. If

How to Get Ocrevus (ocrelizumab) Covered by Cigna in Texas: Prior Authorization, Appeals, and Billing Codes

Answer Box: Getting Ocrevus (ocrelizumab) Covered by Cigna in Texas Cigna requires prior authorization for Ocrevus (ocrelizumab) with step therapy for relapsing MS forms and specific criteria for primary progressive MS. Your neurologist submits a PA request through Cigna's provider portal or fax (855-840-1678) with hepatitis B screening,

How to Get Mavenclad (Cladribine Tablets) Covered by Cigna in Michigan: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Mavenclad Covered by Cigna in Michigan Cigna requires prior authorization for Mavenclad (cladribine tablets) with strict step therapy requirements - you must have failed two disease-modifying therapies (DMTs) or one high-efficacy agent like Ocrevus or Tysabri. Your neurologist submits the PA via Cigna's provider portal

How to Get Venclexta (Venetoclax) Covered by Cigna in North Carolina: Timeline, Forms & Appeals Guide

Answer Box: Getting Venclexta (Venetoclax) Covered by Cigna in North Carolina Cigna requires prior authorization (PA) for Venclexta (venetoclax), typically processed through Express Scripts/Accredo in 2-5 business days. Your fastest path: submit electronically via CoverMyMeds or EviCore with complete clinical documentation including TLS monitoring plan, baseline labs, and NCCN

How to Get Mepsevii (vestronidase alfa-vjbk) Covered by Cigna in Virginia: Timeline, Appeals, and Approval Forms

Quick Answer: Cigna requires prior authorization for Mepsevii (vestronidase alfa-vjbk) in Virginia, typically decided within 72 hours for standard requests and 24 hours for urgent cases. Submit via CoverMyMeds or your EHR's ePA system with complete MPS VII diagnosis documentation and specialist attestation. If denied, you have 180

The Complete Guide to Getting Zolgensma (Onasemnogene Abeparvovec) Covered by Cigna in New York

Quick Answer: Getting Zolgensma Covered by Cigna in New York Cigna requires prior authorization for Zolgensma (onasemnogene abeparvovec) with strict criteria: genetic confirmation of bi-allelic SMN1 mutations, age under 2 years, recent labs, and anti-AAV9 antibody titer ≤1:50. Submit through Cigna's provider portal or Accredo specialty pharmacy.

How to Get Cerezyme (Imiglucerase) Covered by Cigna in Washington: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Cerezyme (Imiglucerase) Covered by Cigna in Washington Fastest Path to Approval: Submit Cigna's Cerezyme/Elelyso/VPRIV prior authorization form with documented Gaucher disease (enzyme assay or genetic testing), prescription from a metabolic/lysosomal storage disorder specialist, and clinical notes showing symptoms. No step therapy required.