Topic

Cigna

A collection of 1061 issues

Work With Your Doctor to Get Jynarque (Tolvaptan) Approved by Cigna in California: PA Requirements and Appeals Guide

Answer Box: Getting Jynarque (Tolvaptan) Approved by Cigna in California Cigna requires prior authorization for Jynarque (tolvaptan) via Express Scripts for adults ≥18 with rapidly progressing ADPKD. Your nephrologist must document eGFR decline ≥3.0 mL/min/1.73m²/year OR Mayo Classification 1C-1E, plus baseline eGFR ≥25, REMS enrollment,

How to Get Juxtapid (lomitapide) Covered by Cigna in Georgia: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Juxtapid (lomitapide) Covered by Cigna in Georgia Eligibility: Cigna covers Juxtapid (lomitapide) for adults with homozygous familial hypercholesterolemia (HoFH) who've failed maximally tolerated statin + ezetimibe + PCSK9 inhibitor therapy, with LDL-C >70 mg/dL (ASCVD) or >100 mg/dL (no ASCVD). Fastest path: (1)

The Requirements Checklist to Get Strimvelis Gene Therapy Covered by Cigna in Michigan: Forms, Appeals, and Milan Treatment Guide

Answer Box: Getting Strimvelis Covered by Cigna in Michigan Strimvelis requires prior authorization through Cigna's Express Scripts specialty pharmacy division using their Non-Specific Gene Therapy form. Key requirements: confirmed ADA-SCID diagnosis with bi-allelic ADA gene mutations, documented absence of HLA-matched related donor, and failed/contraindicated PEG-ADA enzyme replacement

The Complete Requirements Checklist to Get Revlimid (lenalidomide) Covered by Cigna in New Jersey

Answer Box: Getting Revlimid (lenalidomide) Covered by Cigna in New Jersey Fastest path to approval: Submit electronic prior authorization (PA) through CoverMyMeds or EviCore with complete REMS enrollment, diagnosis documentation (ICD-10 codes C90.0 for multiple myeloma, D46.Z for MDS, C83.1 for mantle cell lymphoma), and prior therapy

Aldurazyme (laronidase) Approval with Cigna in Washington: Complete Guide with Forms, Appeals, and Timelines

Answer Box: Getting Aldurazyme Covered by Cigna in Washington Cigna covers Aldurazyme (laronidase) for MPS I with prior authorization requiring genetic/enzymatic confirmation and specialist involvement. Submit through Cigna's provider portal with completed PA form, genetic test results showing IDUA gene variants or enzyme deficiency, and specialist consultation

How to Get Tysabri (natalizumab) Covered by Cigna in Michigan: PA Forms, Appeals Timeline & Approval Checklist

Answer Box: Getting Tysabri Covered by Cigna in Michigan Cigna requires prior authorization for Tysabri (natalizumab) in Michigan with step therapy requirements or documented highly active MS. The fastest path: (1) Have your neurologist submit PA via Evicore by Evernorth or CoverMyMeds with JCV antibody results, recent MRI reports, and

How to Get Myozyme (Alglucosidase Alfa) Covered by Cigna in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Fastest Path to Myozyme Coverage To get Myozyme (alglucosidase alfa) covered by Cigna in North Carolina, you need: (1) confirmed Pompe disease diagnosis with GAA enzyme testing and/or genetic results, (2) prescription from a metabolic/neuromuscular specialist, and (3) prior authorization submission via Cigna's provider

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

Answer Box: Your Fastest Path to Cystadane Coverage Yes, you likely qualify for Cystadane (betaine anhydrous) coverage by Cigna in North Carolina if you have confirmed homocystinuria with elevated plasma homocysteine (>50-100 µmol/L) and genetic or biochemical confirmation. Most approvals require prior authorization through Express Scripts/Accredo with

How to Get Firdapse (Amifampridine) Covered by Cigna in Michigan: Complete Prior Authorization Guide

Answer Box Getting Firdapse (amifampridine) covered by Cigna in Michigan requires prior authorization with specific LEMS diagnostic proof. Michigan residents have strong appeal rights through DIFS external review within 127 days of denial. Fastest path: (1) Have your neurologist complete Cigna's PA form with EMG/antibody results, (2)

How to Get Elzonris (Tagraxofusp-Erzs) Covered by Cigna in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Elzonris Covered by Cigna in Texas Yes, Cigna covers Elzonris (tagraxofusp-erzs) for CD123-positive BPDCN with prior authorization. Your oncologist submits via Cigna/Express Scripts portal with pathology confirming CD123+ immunophenotype, baseline albumin ≥3.2 g/dL, and capillary leak syndrome monitoring plan. Standard review takes 72 hours;