Topic

Cigna

A collection of 130 issues

How Long Does It Take to Get Lutathera Approved by Cigna in California? Complete Timeline & Appeal Guide

Answer Box: Lutathera Approval Timeline in California Getting Lutathera (lutetium Lu-177 dotatate) approved by Cigna in California typically takes 3-7 days for standard prior authorization, or 24 hours for expedited requests when your doctor documents urgent medical need. California law requires Cigna to respond within 72 hours for standard requests

How to Get Advate (Octocog Alfa) Covered by Cigna in Florida: Prior Authorization, Appeals, and Alternative Options

Answer Box: Getting Advate Covered by Cigna in Florida Cigna typically requires prior authorization (PA) for Advate (octocog alfa) in Florida. Your fastest path: have your hemophilia specialist submit a PA request through Cigna's provider portal or by fax, including your hemophilia A diagnosis, bleeding history, and any

How to Get Thiola / Thiola EC (tiopronin) Covered by Cigna in North Carolina: Complete Requirements Guide

Answer Box: Getting Thiola/Thiola EC Covered by Cigna in North Carolina Cigna requires prior authorization for Thiola/Thiola EC (tiopronin) with step therapy requirements. Your fastest path to approval: 1) Gather documentation showing failed conservative treatments (hydration, alkalinization), elevated urine cystine levels (>300-400 mg/24h), and confirmed cystinuria

Get iLink® Corneal Cross-Linking Covered by Cigna in North Carolina: Forms, Appeals & Smart NC Guide

Quick Answer: Getting iLink® Covered by Cigna in North Carolina Cigna covers iLink® corneal cross-linking for progressive keratoconus when medical necessity criteria are met. Your fastest path: have your ophthalmologist submit prior authorization through CoverMyMeds with documentation of disease progression (serial topography, worsening vision). If denied, North Carolina residents can

How to Get Xywav (Ca/Mg/K/Na oxybates) Covered by Cigna in California: Prior Authorization, Appeals, and Cost-Saving Strategies

Answer Box: Getting Xywav Covered by Cigna in California Cigna requires prior authorization for Xywav with strict criteria: confirmed narcolepsy/idiopathic hypersomnia diagnosis, sleep studies, specialist prescription, failed dextroamphetamine trial, and REMS enrollment. First step: Have your sleep specialist submit PA request with complete documentation to Cigna/Express Scripts. If

Getting Orfadin (Nitisinone) Covered by Cigna in New York: Coding, Appeals & Prior Authorization Guide

Answer Box: Getting Orfadin (Nitisinone) Covered by Cigna in New York Orfadin (nitisinone) for hereditary tyrosinemia type 1 requires Cigna prior authorization using ICD-10 code E70.29 and HCPCS J8499. Key steps: 1) Confirm HT-1 diagnosis with elevated succinylacetone levels, 2) Submit PA with specialist documentation and dietary management plan,

Getting Pombiliti (cipaglucosidase alfa-atga) Covered by Cigna in Ohio: Prior Authorization, Appeals, and Cost-Saving Strategies

Quick Answer: Your Path to Pombiliti Coverage Cigna requires prior authorization for Pombiliti (cipaglucosidase alfa-atga) in Ohio. The fastest path: 1) Have your doctor complete Cigna's PA form with evidence of late-onset Pompe disease diagnosis and ERT failure, 2) Submit via fax (855-840-1678) or through Accredo specialty pharmacy,

Get Arikayce Covered by Cigna in New York: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Arikayce Covered by Cigna in New York Eligibility: Adults with refractory MAC lung disease who remain culture-positive after 6+ months of standard therapy. Fastest path: Your pulmonologist submits prior authorization to Cigna with documented treatment failure and culture results. Start today: Gather your sputum culture timeline, medication

Renewing Besponsa (Inotuzumab Ozogamicin) Approval with Cigna in Florida: Complete 2025 Guide

Quick Answer: Besponsa (inotuzumab ozogamicin) renewals with Cigna require updated clinical documentation showing continued medical necessity for CD22-positive ALL. Start your renewal 30-45 days before your current authorization expires. Submit through Cigna's provider portal or fax 1-866-873-8279 with recent labs, treatment response data, and hepatotoxicity monitoring results. In

How to Get Orkambi (lumacaftor/ivacaftor) Covered by Cigna in California: Appeals Timeline and Documentation Guide

Answer Box: Getting Orkambi Covered by Cigna in California Fastest Path: Submit prior authorization with genetic test results showing F508del homozygosity, CF diagnosis documentation, and specialist prescription. If denied, file internal appeal within 180 days, then request California Independent Medical Review (IMR) through DMHC. Success rate for IMR appeals is