Topic

Cigna

A collection of 1119 issues

How to Get Haegarda (C1-Esterase Inhibitor) Covered by Cigna in Florida: Complete Appeals Guide with Forms and Timelines

Quick Answer: Getting Haegarda Covered by Cigna in Florida Fastest path to approval: Submit prior authorization through your specialty pharmacy with confirmed HAE diagnosis, attack frequency documentation, and failure/intolerance of preferred alternatives. Timeline: 72 hours for standard review, 24 hours expedited. First step today: Contact your prescribing physician to

If Qinlock (Ripretinib) Isn't Approved by Cigna in North Carolina: Formulary Alternatives & Exception Paths

Answer Box: Getting GIST Treatment When Qinlock Isn't Approved If Cigna denies Qinlock (ripretinib) in North Carolina, you have three main paths: try formulary alternatives like regorafenib or sunitinib first, request a formulary exception with clinical justification, or appeal through North Carolina's external review system via

How to Get Somatuline Depot (Lanreotide) Covered by Cigna in New York: Complete Prior Authorization & Appeals Guide

Answer Box: Getting Somatuline Depot Covered by Cigna in New York Eligibility: Somatuline Depot requires prior authorization from Cigna for acromegaly, gastroenteropancreatic neuroendocrine tumors (GEP-NET), and carcinoid syndrome. Fastest approval path: Have your endocrinologist or oncologist submit a complete PA request through Express Scripts' electronic system with documented octreotide

How to Get Opfolda (Miglustat) Covered by Cigna in Georgia: Complete Forms, Appeals, and Contact Guide

Answer Box: Getting Opfolda (Miglustat) Covered by Cigna in Georgia Eligibility: Opfolda is only approved for adults with late-onset Pompe disease (≥40 kg) who aren't improving on current enzyme replacement therapy and must be used with Pombiliti infusions. Fastest Path: Your doctor submits a prior authorization through CoverMyMeds

How to Get Evrysdi (Risdiplam) Approved by Cigna in Florida: Timeline, Forms & Appeal Guide

Answer Box: Getting Evrysdi Approved by Cigna in Florida Timeline: Cigna typically responds to Evrysdi prior authorization requests within 5 business days (expedited in 24-72 hours for urgent cases). Requirements: Genetic testing confirming SMA diagnosis, neurologist prescription, baseline motor assessment, and weight-based dosing documentation. First step: Have your neurologist complete

How to Get Gilenya (Fingolimod) Covered by Cigna in North Carolina: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Gilenya Covered by Cigna in North Carolina Eligibility: Gilenya requires prior authorization from Cigna for relapsing multiple sclerosis in patients 10+ years old. Your neurologist must submit baseline testing (EKG, eye exam, labs) and first-dose monitoring plans through CoverMyMeds portal or fax to 1-866-873-8279. Fastest Path: Complete

How to Get Evkeeza (Evinacumab-dgnb) Covered by Cigna in Illinois: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Evkeeza Covered by Cigna in Illinois Eligibility: Patients 5+ with confirmed homozygous familial hypercholesterolemia (HoFH) who've failed maximum statin, ezetimibe, and PCSK9 inhibitor therapy. Fastest approval path: 1) Gather genetic testing confirming HoFH, recent LDL-C levels ≥70 mg/dL on maximum therapy, and pharmacy records

How to Get Vanflyta (Quizartinib) Covered by Cigna in Ohio: PA Forms, Appeal Process & Cost Assistance

Answer Box: Getting Vanflyta (Quizartinib) Covered by Cigna in Ohio Vanflyta requires prior authorization from Cigna and must be filled through Accredo specialty pharmacy. To get coverage in Ohio: 1) Have your oncologist submit a PA request with FLT3-ITD test results, prior therapy documentation, and clinical rationale, 2) If denied,

Get Opsumit (Macitentan) Approved by Cigna in Pennsylvania: Provider Partnership Guide

Answer Box: Getting Opsumit Covered by Cigna in Pennsylvania Eligibility: You need a PAH diagnosis confirmed by right heart catheterization, prescribed by a pulmonary hypertension specialist, with documented functional class limitations and pregnancy testing compliance (if applicable). Fastest Path: Your specialist submits prior authorization through CoverMyMeds or EviCore by Evernorth

Renewing Uptravi (Selexipag) Coverage with Cigna in Pennsylvania: Timeline, Documentation & Appeal Rights

Answer Box: Uptravi (Selexipag) Renewal Process Renewal Timeline: Cigna approves Uptravi for 1-year periods. Start renewal 60-90 days before expiration to avoid gaps. Required Documentation: WHO Group I PAH confirmation, 6-minute walk test results, functional class assessment, and tolerability records. Submit Through: Cigna provider portal at covermymeds.com or precertification