Topic

Cigna

A collection of 1066 issues

How to Get Synagis (Palivizumab) Covered by Cigna in Pennsylvania: Complete Prior Authorization Guide

Answer Box: Cigna requires prior authorization for Synagis (palivizumab) through Express Scripts/Accredo for high-risk infants meeting AAP criteria. Submit PA using CoverMyMeds or fax (855) 840-1678 with specialist documentation (gestational age, chronic lung disease, congenital heart disease). If denied, use Cigna's internal appeals within 180 days, then

How to Get Ibrance (Palbociclib) Covered by Cigna in Pennsylvania: Prior Authorization Guide and Appeals Process

Quick Answer: Getting Ibrance (Palbociclib) Covered by Cigna in Pennsylvania Cigna requires prior authorization for Ibrance (palbociclib) with step therapy mandating trials of preferred CDK4/6 inhibitors like Kisqali or Verzenio first. Key requirements: HR+/HER2- pathology report, documented failure/intolerance of formulary alternatives, and combination with endocrine therapy. If

Pemazyre (Pemigatinib) Approval with Cigna in Ohio: Answers to the Most Common Questions

Answer Box: Getting Pemazyre Covered by Cigna in Ohio Eligibility: Cigna covers Pemazyre (pemigatinib) with prior authorization for adults with unresectable/metastatic cholangiocarcinoma with FGFR2 fusion/rearrangement after prior systemic therapy, or myeloid/lymphoid neoplasms with FGFR1 rearrangement. Fastest path: Your oncologist submits PA via Cigna provider portal with FGFR

Myths vs. Facts: Getting Vigabatrin (Sabril) Covered by Cigna in Florida - Complete Appeals Guide

Answer Box: Getting Vigabatrin Covered by Cigna in Florida Fast Track to Approval: Cigna covers vigabatrin (Sabril, generics) for infantile spasms (ages 1 month-2 years) and refractory complex partial seizures (≥2 years) with prior authorization. Success requires: neurologist prescription, REMS enrollment, documented prior failures (for epilepsy), and vision monitoring plan.

The Requirements Checklist to Get Luxturna (voretigene neparvovec-rzyl) Covered by Cigna in Michigan

Quick Answer: To get Luxturna covered by Cigna in Michigan, you need genetic testing confirming biallelic RPE65 mutations, retinal viability proof via OCT, and treatment at University of Michigan Kellogg Eye Center. Submit Cigna's Luxturna CCRD Prior Authorization Form to fax 833-910-1625 with all supporting docs. If denied,

How to Get Ferriprox (Deferiprone) Covered by Cigna in Illinois: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Ferriprox Covered by Cigna in Illinois Fastest path to approval: Submit prior authorization through Cigna's Express Scripts/Accredo specialty pharmacy with ferritin >1,000 mcg/L, hematologist consultation, and transfusion history. Illinois law prohibits step therapy for formulary drugs and provides 30-day appeal deadlines

How to Get Upstaza (Eladocagene Exuparvovec) Covered by Cigna in Florida: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Upstaza Covered by Cigna in Florida Upstaza (eladocagene exuparvovec) requires prior authorization from Cigna through Express Scripts/Accredo. In Florida, you have strong appeal rights if denied. Quick path: 1) Confirm AADC deficiency diagnosis with genetic testing, 2) Submit PA via Accredo CoverMyMeds portal with medical necessity

How to Get Enhertu (Fam-Trastuzumab Deruxtecan-nxki) Covered by Cigna in California: Appeal Guide & Templates

Answer Box: Getting Enhertu Covered by Cigna in California Cigna requires prior authorization for Enhertu with documented HER2 biomarker testing per ASCO/CAP guidelines, diagnosis details, and prior therapy records. Submit via Cigna's oncology PA form or eviCore system. If denied, California's Independent Medical Review (IMR)

Do You Qualify for Sumavel DosePro Coverage by Cigna in Ohio? Decision Tree & Next Steps

Quick Answer: Your Path to Sumavel DosePro Coverage Important: Sumavel DosePro (needle-free sumatriptan injection) has been discontinued in the U.S. However, if you need needle-free migraine treatment, Cigna typically covers alternatives after documented oral triptan failure. First step: Contact your prescriber to discuss nasal sumatriptan or standard auto-injectors. For

How to Get Cresemba (Isavuconazole) Covered by Cigna in Georgia: Complete PA Guide with Forms and Appeals Timeline

Answer Box: Cresemba (isavuconazole) requires prior authorization from Cigna for invasive aspergillosis and mucormycosis. Submit PA via CoverMyMeds or Surescripts portal with confirmed diagnosis, culture results, and ID specialist documentation. If denied, you have 180 days for internal appeal, then 60 days for Georgia DOI external review. Start with your