Topic

Cigna

A collection of 1119 issues

How to Get Gamifant (Emapalumab-lzsg) Covered by Cigna in Georgia: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Gamifant Covered by Cigna in Georgia Eligibility: Gamifant (emapalumab-lzsg) is covered by Cigna for primary HLH with refractory, recurrent, or progressive disease after conventional therapy failure. Fastest path: Submit an expedited prior authorization (72-hour decision) through your hematologist with documented HLH-2004 criteria, prior etoposide/steroid failures, and
6 min read

How to Get Lutathera Approved by Cigna in Florida: Complete Prior Authorization & Appeals Guide

Answer Box: Getting Lutathera Covered by Cigna in Florida Cigna typically requires prior authorization for Lutathera (lutetium Lu-177 dotatate) with documented somatostatin receptor-positive imaging and prior somatostatin analog therapy failure. Fastest approval path: Your oncologist submits the PA request with DOTATATE PET/CT results, pathology confirming GEP-NET, and progression notes
6 min read

How to Get Myalept (Metreleptin) Covered by Cigna in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Myalept (Metreleptin) Covered by Cigna in North Carolina Fastest path to approval: Myalept requires prior authorization from Cigna with confirmed generalized lipodystrophy (ICD-10 E88.12), REMS certification, and documented metabolic complications despite standard therapy. If denied, you have 180 days for internal appeals, then 120 days for
7 min read

Renewing Filsuvez (Birch Triterpenes Topical Gel) Approval with Cigna in Pennsylvania: Complete Timeline and Documentation Guide

Answer Box: Filsuvez Renewal with Cigna in Pennsylvania Cigna typically requires Filsuvez (birch triterpenes topical gel) prior authorization renewal every 6-12 months for epidermolysis bullosa patients. Start your renewal process 6-8 weeks before your current authorization expires to avoid treatment gaps. You'll need updated wound assessments, response documentation,
5 min read

How to Get Fabrazyme (agalsidase beta) Covered by Cigna in New York: Prior Authorization, Appeals, and State Review Options

Answer Box: Getting Fabrazyme Covered by Cigna in New York Cigna typically covers Fabrazyme (agalsidase beta) for confirmed Fabry disease as a specialty medication requiring prior authorization. Fastest path to approval: Have your specialist (geneticist, metabolic endocrinologist, or nephrologist) submit a complete PA request through Cigna's provider portal
6 min read