Topic

Cigna

A collection of 605 issues

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

Answer Box: Get Bylvay (Odevixibat) Covered by Cigna in California Cigna requires prior authorization for Bylvay (odevixibat) for PFIC and Alagille syndrome patients. To get approved: (1) Submit PA through your specialist with genetic testing, treatment history, and weight-based dosing documentation via Accredo specialty pharmacy, (2) If denied, file internal

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

Answer Box: Getting Tracleer (bosentan) Covered by Cigna in Illinois Cigna requires prior authorization for Tracleer (bosentan) with specific requirements including REMS enrollment, step therapy documentation, and monthly monitoring. The fastest path to approval: 1. Enroll in REMS program - Both prescriber and patient must register before submission 2. Document

Myths vs. Facts: Getting Isturisa (Osilodrostat) Covered by Cigna in Georgia

Quick Answer: Isturisa (osilodrostat) coverage by Cigna in Georgia requires prior authorization with endocrinologist prescription, confirmed Cushing's disease diagnosis, and surgical contraindication documentation. If denied, you have 180 days for internal appeals and 60 days for Georgia Department of Insurance external review. Start by contacting your endocrinologist to

How to Get Sumavel DosePro Covered by Cigna in New Jersey: Complete Appeals Guide and Alternative Options

Quick Answer: Sumavel DosePro Coverage with Cigna in New Jersey Important Update: Sumavel DosePro (needle-free sumatriptan injection) was discontinued in the United States in 2018 and is no longer available on any formulary, including Cigna's. However, generic sumatriptan injection remains covered by Cigna with prior authorization. Your fastest

Get Opfolda (miglustat) Covered by Cigna in California: Forms, Appeals & Support Contacts

Answer Box: Fast Path to Opfolda Coverage Opfolda (miglustat) is only approved with Pombiliti for adults with late-onset Pompe disease (≥40 kg) not improving on current enzyme replacement therapy. For Cigna approval in California: 1. Submit PA electronically via CoverMyMeds or call 1-800-882-4462 for urgent cases 2. Include required documentation:

How to Get Thiola / Thiola EC (Tiopronin) Covered by Cigna in Ohio: Complete Forms, Timeline & Appeal Guide

Answer Box: Your Fastest Path to Approval Cigna requires prior authorization for Thiola/Thiola EC (tiopronin) in Ohio with strict medical necessity criteria. To get approval: (1) Gather complete documentation including 24-hour urine cystine levels >400 mg/day, confirmed cystinuria diagnosis (ICD-10 E72.01), and evidence of failed conservative

How to Get Retevmo (selpercatinib) Covered by Cigna in Ohio: Complete Prior Authorization and Appeal Guide

Answer Box: Fastest Path to Retevmo Coverage Cigna requires prior authorization for Retevmo (selpercatinib) in Ohio. Your oncologist must submit documentation proving RET gene alteration via FDA-approved testing (like FoundationOne CDx), diagnosis of RET fusion-positive NSCLC or RET-mutant thyroid cancer, and prior treatment history. Submit through Cigna's provider

Denied for Ilaris (Canakinumab) by Cigna in Illinois? Complete Appeal Guide with Forms and Timelines

Quick Answer: Getting Ilaris (Canakinumab) Approved by Cigna in Illinois If Cigna denied your Ilaris (canakinumab) prior authorization, you have strong appeal rights in Illinois. Most denials can be overturned with proper documentation. Here's your fastest path to approval: 1. Request peer-to-peer review with Cigna's medical

How to Get Isturisa (Osilodrostat) Covered by Cigna in Texas: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Isturisa Covered by Cigna in Texas Cigna requires prior authorization for Isturisa (osilodrostat) with specific clinical documentation. The fastest path to approval requires: (1) endocrinologist prescription with confirmed Cushing's disease diagnosis, (2) documented surgical contraindication or failure, and (3) abnormal cortisol test results (UFC, salivary

Getting Zolgensma (onasemnogene abeparvovec) Covered by Cigna in Pennsylvania: Complete Prior Authorization and Appeal Guide

Quick Answer: Getting Zolgensma Approved by Cigna in Pennsylvania Zolgensma requires prior authorization through Cigna's specialty pharmacy (Accredo) with strict eligibility criteria: genetic confirmation of SMA, patient under age 2, specialist prescription, and comprehensive clinical documentation. If denied, Pennsylvania's new external review process has a 53%