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Cigna

A collection of 1119 issues

How to Get Lutathera (lutetium Lu-177 dotatate) Covered by Cigna in Virginia: PA Requirements, Appeals, and Success Strategies

Answer Box: Your Fastest Path to Coverage To get Lutathera (lutetium Lu-177 dotatate) covered by Cigna in Virginia: Submit prior authorization with somatostatin receptor-positive imaging, documented progression on somatostatin analogs, and nuclear medicine facility credentials. If denied, file internal appeal within 180 days, then Virginia external review using Form 216-A

Myths vs. Facts: Getting Uplizna (Inebilizumab) Covered by Cigna in Florida

Answer Box: Getting Uplizna Covered by Cigna in Florida Fastest path to approval: Ensure your neurologist documents AQP4-IgG positive NMOSD diagnosis with lab results, lists prior therapy failures, and submits through Cigna's electronic prior authorization portal. If denied, file an internal appeal within 180 days, then request external

How to Get Amondys 45 (casimersen) Covered by Cigna in Washington: Complete Forms, Appeals & Genetic Testing Guide

Quick Answer: Getting Amondys 45 (casimersen) Covered by Cigna in Washington Eligibility: Cigna covers Amondys 45 for DMD patients with confirmed exon 45-amenable mutations through prior authorization. Fastest path: Have your neuromuscular specialist submit genetic test results plus clinical documentation to Cigna's specialty pharmacy team. Start today: Call

Getting Lumizyme (Alglucosidase Alfa) Approved by Cigna in Texas: A Real Patient's Journey From Denial to Coverage

Answer Box: Getting Lumizyme Covered by Cigna in Texas Fastest path to approval: Submit prior authorization with enzyme deficiency confirmation, genetic testing results, and specialist prescription through Cigna's provider portal. Key requirements: GAA enzyme activity testing, genetic confirmation, and prescription by metabolic specialist or neurologist experienced with lysosomal

Renewing Myozyme (Alglucosidase Alfa) Approval with Cigna in Texas: Complete 2025 Guide

Answer Box: Renewing Myozyme Coverage with Cigna in Texas Cigna requires annual prior authorization renewal for Myozyme (alglucosidase alfa) through Express Scripts/Accredo specialty pharmacy. Start your renewal 30-45 days before expiration to avoid coverage gaps. Submit updated clinical documentation showing treatment response, specialist oversight, and continued medical necessity via

Work With Your Doctor to Get Elaprase (idursulfase) Approved by Cigna in Pennsylvania: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Elaprase (idursulfase) Covered by Cigna in Pennsylvania Cigna requires prior authorization for Elaprase with specialist consultation and weight-based dosing documentation. Success depends on three key elements: enzymatic/genetic testing confirming Hunter syndrome, a metabolic specialist's prescription, and detailed infusion monitoring plans. If denied, Pennsylvania'

How to Get Hemlibra (emicizumab-kxwh) Covered by Cigna in Virginia: Complete Prior Authorization and Appeals Guide

Quick Answer: To get Hemlibra (emicizumab-kxwh) covered by Cigna in Virginia, you need prior authorization with hemophilia A diagnosis, factor VIII inhibitor testing, and bleeding history documentation. Submit through CoverMyMeds or fax to (855) 840-1678. Standard review takes 15-30 days. If denied, file internal appeal within 180 days, then Virginia

How to Get Carbaglu (carglumic acid) Covered by Cigna in New Jersey: Complete Guide to Prior Authorization and Appeals

Answer Box: Getting Carbaglu Covered by Cigna in New Jersey Eligibility: Carbaglu requires prior authorization from Cigna and genetic/biochemical confirmation of NAGS deficiency with elevated ammonia levels. Fastest Path: Your metabolic specialist submits a prior authorization through Express Scripts with genetic testing results, baseline ammonia labs, and specialist consultation

Do You Qualify for Tavalisse Coverage by Cigna in Georgia? Decision Tree & Next Steps

Answer Box: Getting Tavalisse Covered by Cigna in Georgia Most likely to get approved: Adults with chronic ITP (12+ months), platelet count <30,000/mcL or <50,000/mcL with bleeding risk, who've failed at least one prior therapy (steroids, IVIG), and have a hematologist prescriber.

How to Get Evkeeza (evinacumab-dgnb) Covered by Cigna in New York: Complete Coding & Prior Authorization Guide

Answer Box: Getting Evkeeza Covered by Cigna in New York Evkeeza (evinacumab-dgnb) requires prior authorization from Cigna for homozygous familial hypercholesterolemia (HoFH). Key steps: 1) Confirm HoFH diagnosis with genetic testing or clinical criteria, 2) Document failed trials of maximum statin, ezetimibe, and PCSK9 inhibitor therapy, 3) Submit complete prior