Topic

Cigna

A collection of 130 issues

How to Get Helixate (Antihemophilic Factor VIII) Covered by Cigna in Michigan: Appeals, Alternatives & Exception Forms

Answer Box: Getting Helixate Covered by Cigna in Michigan Helixate (antihemophilic factor VIII) requires prior authorization from Cigna and may face formulary restrictions. Your fastest path: 1) Check if covered alternatives like Advate or Eloctate work clinically, 2) Submit a formulary exception with medical necessity documentation if Helixate is specifically
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How to Get Photrexa Covered by Cigna in Ohio: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Photrexa Covered by Cigna in Ohio Yes, Cigna covers Photrexa (riboflavin ophthalmic solution) for FDA-approved epithelium-off corneal cross-linking in progressive keratoconus. Your ophthalmologist must submit prior authorization through Cigna's provider portal with documented progression evidence (Kmax increase ≥1.0D, pachymetry thinning, topography changes over 3-12
6 min read

Getting Pombiliti (Cipaglucosidase Alfa) Covered by Cigna in Pennsylvania: Prior Authorization, Appeals, and Cost-Saving Strategies

Quick Answer: Getting Pombiliti Covered by Cigna in Pennsylvania Cigna requires prior authorization for Pombiliti (cipaglucosidase alfa-atga) and places it on Tier 5 specialty formulary. First step: Have your prescriber submit PA through CoverMyMeds or ExpressPAth with genetic confirmation of Pompe disease and documentation that you're not improving
6 min read