Topic

Cigna

A collection of 1118 issues

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

Answer Box: Getting Vitrakvi Covered by Cigna in Texas Eligibility: Vitrakvi (larotrectinib) requires prior authorization from Cigna for patients with NTRK gene fusion-positive solid tumors that are metastatic or unresectable. Fastest path to approval: Have your oncologist submit a prior authorization request through CignaforHCP.com with complete NTRK fusion testing

How to Get Rystiggo (Rozanolixizumab-noli) Covered by Cigna in California: Prior Authorization Guide and Appeal Scripts

Answer Box: To get Rystiggo (rozanolixizumab-noli) covered by Cigna in California, you need confirmed AChR- or MuSK-positive generalized myasthenia gravis and documented failure of standard therapies (pyridostigmine, corticosteroids, immunosuppressants). Submit prior authorization through CignaForHCP.com with complete treatment history. If denied, California's Independent Medical Review (IMR) through DMHC

Getting Tagrisso (Osimertinib) Covered by Cigna in New Jersey: Complete Guide to Prior Authorization and Appeals

Quick Answer: How to Get Tagrisso Covered by Cigna in New Jersey Cigna covers Tagrisso (osimertinib) with prior authorization for EGFR-mutated NSCLC in metastatic, adjuvant, and unresectable stage III settings. No step therapy required under Cigna's national policy. To get approved: (1) Submit PA with EGFR mutation test

How to Get Amondys 45 (Casimersen) Covered by Cigna in Michigan: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Amondys 45 (Casimersen) Covered by Cigna in Michigan Cigna requires prior authorization for Amondys 45 with genetic confirmation of exon 45 skipping amenability, specialist prescription, and ambulatory status documentation. Submit through CoverMyMeds or Cigna's provider portal with complete genetic testing from a CLIA-certified lab. Standard

How to Get Acthar Gel Covered by Cigna in Illinois: Complete Forms, Appeals, and Approval Guide

Answer Box: Getting Acthar Gel Covered by Cigna in Illinois Cigna requires prior authorization for Acthar Gel with strict step therapy requirements. In Illinois, you have 180 days to file internal appeals and 4 months for external review after final denial. First step today: Download Cigna's drug-specific PA

How to Get Thiola/Thiola EC (Tiopronin) Covered by Cigna in Pennsylvania: Complete Prior Authorization Guide

Quick Answer: Getting Thiola/Thiola EC Approved by Cigna in Pennsylvania Cigna requires prior authorization for Thiola/Thiola EC (tiopronin) and typically places it on a specialty tier with step-therapy requirements. Your fastest path to approval: 1) Document failed alkalinization therapy (potassium citrate, high fluid intake) with continued stone formation,

The Complete Requirements Checklist to Get Imbruvica (ibrutinib) Covered by Cigna in Ohio

Answer Box: Getting Imbruvica (ibrutinib) Covered by Cigna in Ohio Who's eligible: Adults with CLL/SLL, Waldenström macroglobulinemia, or chronic graft-versus-host disease under oncologist care. Fastest path: Submit Cigna's oncology prior authorization with complete pathology, prior treatment history, and medical necessity letter citing FDA labeling and

Work With Your Doctor to Get Orkambi (lumacaftor/ivacaftor) Covered by Cigna in Virginia: Complete Guide

Answer Box: Getting Orkambi Covered by Cigna in Virginia To get Orkambi (lumacaftor/ivacaftor) approved by Cigna in Virginia, you need: F508del homozygous genotype confirmation, a CF specialist prescription, and prior authorization documentation. The fastest path: (1) Schedule a CF center visit to gather genetic testing and clinical documentation, (2)

How to Get Arikayce Covered by Cigna in Ohio: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Arikayce Covered by Cigna in Ohio Cigna requires prior authorization for Arikayce (amikacin liposome inhalation) with specific criteria: refractory MAC lung disease after ≥6 months of combination therapy, amikacin-susceptible cultures, and specialist oversight. First step: Gather baseline audiogram, culture results, and documentation of failed standard therapy. Submit

The Complete Requirements Checklist to Get Myalept (Metreleptin) Covered by Cigna in Pennsylvania

Answer Box: Getting Myalept (Metreleptin) Covered by Cigna in Pennsylvania Who qualifies: Patients with confirmed generalized lipodystrophy experiencing metabolic complications despite standard therapy. Fastest path to approval: 1. Confirm generalized lipodystrophy diagnosis (ICD-10: E88.12) with endocrinologist 2. Document failed diet counseling plus optimized diabetes/lipid treatments 3. Submit complete