Topic

Cigna

A collection of 1063 issues

If Xembify Isn't Approved by Cigna in Illinois: Formulary Alternatives & Exception Paths

Answer Box: When Cigna Denies Xembify in Illinois If Cigna denies Xembify (immune globulin, SC) for primary immunodeficiency in Illinois, you have alternatives. Covered options typically include Hizentra (SCIG), Gamunex-C (IVIG/SCIG), and Privigen (IVIG) under Cigna's immune globulin policy. First step: Request formulary exception through your prescriber,

How to Get Rylaze (Asparaginase Erwinia Chrysanthemi) Covered by Cigna in Michigan: Complete PA Guide with Appeals Process

Answer Box: Getting Rylaze Covered by Cigna in Michigan Rylaze requires prior authorization through Cigna's specialty pharmacy network with documented hypersensitivity to E. coli-derived asparaginase and confirmed ALL/LBL diagnosis. Submit Cigna's Rylaze PA form via CoverMyMeds or provider portal within 5 business days (72 hours

How to Get Evrysdi (Risdiplam) Covered by Cigna in Georgia: Prior Authorization, Appeals & Coding Guide

Answer Box: Getting Evrysdi Covered by Cigna in Georgia Eligibility: Patients ≥2 months with genetically confirmed 5q-SMA can get Evrysdi covered by Cigna with proper documentation. Fastest path: Submit prior authorization with genetic test results, baseline motor assessment (CHOP-INTEND/HFMSE), and specialist letter. First step today: Contact your neurologist to

How to Get Vitrakvi (larotrectinib) Covered by Cigna in California: Complete Guide to Prior Authorization and Appeals

Answer Box: Quick Path to Coverage Cigna requires prior authorization for Vitrakvi (larotrectinib) in California, with approval typically within 5 business days when complete documentation is submitted. Your oncologist must provide NTRK fusion test results, treatment history, and medical necessity justification. If denied, California's Independent Medical Review (IMR)

If Tavneos (Avacopan) Isn't Approved by Cigna in Washington: Formulary Alternatives and Exception Strategies

Answer Box: Quick Start Guide If Cigna denies Tavneos (avacopan) for ANCA-associated vasculitis in Washington, you have three main paths forward: 1) Try formulary alternatives like rituximab or cyclophosphamide that may have easier approval, 2) Request a formulary exception with strong clinical evidence showing why alternatives are inadequate, or 3)

How to Get Cresemba (isavuconazole) Covered by Cigna in Florida: Complete Prior Authorization Guide

Answer Box: Fastest Path to Cresemba Coverage Cigna requires prior authorization for Cresemba (isavuconazole) in Florida with 6-month approval duration for invasive aspergillosis and mucormycosis. Submit PA within 72 hours of prescription using Cigna's electronic portal or Authorization Request Form. Include confirmed diagnosis, culture/imaging evidence, prior antifungal

If Takhzyro Isn't Approved by Cigna in New York: Formulary Alternatives & Exception Paths

Answer Box: When Cigna Denies Takhzyro for HAE Prophylaxis If Cigna denies Takhzyro (lanadelumab-flyo) for hereditary angioedema (HAE) prophylaxis in New York, you have three main options: try formulary alternatives like Haegarda (subcutaneous C1-INH) or Orladeyo (oral berotralstat), request a step therapy exception with clinical justification, or file an internal

Renewing Duopa (Carbidopa/Levodopa Enteral) Coverage with Cigna in North Carolina: Timeline, Documentation & Appeals

Quick Answer: Renewing Your Duopa Coverage in North Carolina Cigna approves Duopa renewals for 1-year periods when you still meet the original criteria and show continued benefit. Start your renewal 30-45 days before expiration. You'll need: updated neurology notes documenting ongoing advanced Parkinson's with OFF episodes,

How to Get Joenja (leniolisib) Approved by Cigna in New York: Complete Prior Authorization Guide with Appeals Timeline

Answer Box: Getting Joenja (leniolisib) Covered by Cigna in New York Joenja (leniolisib) requires prior authorization through Cigna's specialty pharmacy benefit, managed by Express Scripts/Accredo, with standard decisions in 5 business days or 24 hours for urgent cases. Key requirements include genetic confirmation of APDS (PIK3CD or

How to Get HyperHEP B Covered by Cigna in New Jersey: Prior Authorization Guide and Appeals Process

Answer Box: Quick Path to Coverage To get HyperHEP B covered by Cigna in New Jersey: Submit prior authorization through Cigna's provider portal with exposure documentation, immunity testing, and CDC timeline compliance (within 24 hours for needlestick, 14 days for sexual exposure). If denied, file internal appeal within