Topic

Cigna

A collection of 1118 issues

If Garadacimab Isn't Approved by Cigna in Virginia: Formulary Alternatives & Exception Paths (2025 Guide)

Answer Box: Getting HAE Prophylaxis Coverage Through Cigna in Virginia If Cigna denies Garadacimab (Andembry), you have strong alternatives and exception paths. First, try Haegarda (subcutaneous C1-INH) - it's Cigna's preferred first-line prophylaxis and often approved quickly. If that fails or isn't suitable, document

How to Get Trikafta Covered by Cigna in Texas: Complete Prior Authorization and Appeals Guide (2025)

Answer Box: Getting Trikafta Covered by Cigna in Texas Most Cigna plans in Texas require prior authorization for Trikafta (elexacaftor/tezacaftor/ivacaftor). You'll likely qualify if you have confirmed CF with at least one F508del mutation and are age 2+. Fastest path: Have your CF specialist submit a

Resources to Get Givlaari (givosiran) Approved with Cigna in California: Forms, Portals & Contacts

Answer Box: Getting Givlaari (givosiran) Covered by Cigna in California Fastest path to approval: Submit Cigna's current Givlaari-specific PA form via CoverMyMeds portal with biochemical confirmation (elevated ALA/PBG), attack history, and specialist documentation. If denied, file internal appeal within 180 days, then request California DMHC Independent Medical

If Chenodal (chenodiol) Isn't Approved by Cigna in Ohio: Ursodiol Alternatives & Exception Strategies

Quick Answer: If Cigna denies Chenodal (chenodiol) for gallstone dissolution in Ohio, ursodiol is the preferred formulary alternative and typically required as step therapy first. Request a formulary exception if ursodiol fails or causes intolerance, documenting 6+ months of inadequate response. Ohio residents have 180 days to request external review

If Skyrizi Isn't Approved by Cigna in Florida: Formulary Alternatives & Exception Paths

Answer Box: Your Options When Cigna Denies Skyrizi If Cigna denies Skyrizi (risankizumab) in Florida, you have three main paths: 1) Try a covered alternative biologic like Tremfya, Cosentyx, or adalimumab biosimilars that Cigna prefers, 2) Request a formulary exception with detailed medical necessity documentation, or 3) Appeal the denial

Renewing Krystexxa (Pegloticase) Approval with Cigna in California: Complete Timeline and Documentation Guide

Answer Box: Renewing Your Krystexxa Coverage To renew Krystexxa (pegloticase) with Cigna in California: Submit renewal 2-4 weeks before your current authorization expires using Cigna's Krystexxa PA form. Include recent serum uric acid labs showing response (<6 mg/dL), rheumatology progress notes, and documentation of prior allopurinol/

How to Get Cosentyx (secukinumab) Covered by Cigna in Texas: Complete 2025 Guide with Forms and Appeals

Answer Box: Getting Cosentyx Covered by Cigna in Texas To get Cosentyx (secukinumab) covered by Cigna in Texas, you need: (1) specialist prescriber (dermatologist/rheumatologist), (2) prior authorization with TB screening results, and (3) documentation of failed step therapy or medical exceptions. First step today: Have your doctor order QuantiFERON-TB

Myths vs. Facts: Getting Cosentyx (secukinumab) Covered by Cigna in Ohio - Complete Appeals Guide

Answer Box: Getting Cosentyx (secukinumab) Covered by Cigna in Ohio Fastest Path to Approval: Submit Cigna's prior authorization form with complete TB screening, documented step therapy (methotrexate or other systemic agent failure), objective severity scores (PASI/BSA for psoriasis, BASDAI for ankylosing spondylitis), and specialist prescriber attestation. If

How to Get Kymriah (tisagenlecleucel) Covered by Cigna in New Jersey: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Kymriah Covered by Cigna in New Jersey Kymriah requires prior authorization through Cigna's LifeSOURCE transplant program, not standard pharmacy benefits. For New Jersey residents, you have strong protections under state law including step therapy exceptions (effective 2026) and external appeals through IHCAP. First step today:

How to Get Epidiolex (Cannabidiol) Covered by Cigna in Illinois: Appeal Forms, State Protections, and Medical Necessity Scripts

Answer Box: Getting Epidiolex (Cannabidiol) Covered by Cigna in Illinois Fastest path to approval: Submit a formulary exception request through Cigna's provider portal with detailed medical necessity documentation showing failed formulary alternatives. Illinois residents have strong appeal protections, including a 4-month external review window and expedited pathways for