Topic

Cigna

A collection of 1119 issues

How to Get Entresto (Sacubitril/Valsartan) Covered by Cigna in Georgia: Prior Authorization Forms, Appeals, and Step-by-Step Guide

Answer Box: Getting Entresto Covered by Cigna in Georgia Eligibility: Cigna covers Entresto for chronic heart failure with reduced ejection fraction after documented ACE inhibitor or ARB trial failure. Fastest approval path: Submit prior authorization with heart failure diagnosis (ICD-10 I50.22), current LVEF measurement, and detailed ACE inhibitor/ARB

How to Get Hetlioz (Tasimelteon) Covered by Cigna in Texas: Prior Authorization Guide and Appeals Process

Answer Box: Getting Hetlioz (Tasimelteon) Covered by Cigna in Texas Fastest path to approval: Document failed trials of ramelteon and one additional preferred sleep medication, then submit prior authorization through Express Scripts with specialist attestation for Non-24-hour sleep-wake disorder or Smith-Magenis syndrome. If denied, file internal appeal within 180 days—

How to Get Taltz (Ixekizumab) Covered by Cigna in Georgia: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Taltz Covered by Cigna in Georgia Cigna requires prior authorization for all Taltz (ixekizumab) prescriptions. Your fastest path to approval: have your prescriber document failure of at least one traditional systemic agent (methotrexate, cyclosporine, acitretin, or PUVA) for 3+ months, submit negative tuberculosis screening within 12 months,

Getting Tecentriq (Atezolizumab) Covered by Cigna in Florida: Complete Appeals Guide with Forms and Timelines

Answer Box: Quick Path to Tecentriq Coverage For Cigna Medicare Advantage members in Florida: Tecentriq requires no prior authorization. For other Cigna plans, submit PA through Accredo specialty pharmacy with PD-L1 testing results ≥1% (adjuvant NSCLC) or ≥50% TC/≥10% IC (metastatic). If denied, file internal appeal within 180 days,

How to Get Vyndaqel/Vyndamax (Tafamidis) Covered by Cigna in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Vyndaqel/Vyndamax Covered by Cigna in North Carolina Fastest Path to Approval: Cigna requires prior authorization for tafamidis with confirmed ATTR-CM diagnosis via PYP scan or biopsy, cardiology oversight, and NYHA Class I-III status. First step today: Gather your diagnostic reports and contact your cardiologist to initiate

How to Get Keytruda (Pembrolizumab) Covered by Cigna in New Jersey: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Keytruda Covered by Cigna in New Jersey Keytruda (pembrolizumab) requires prior authorization from Cigna for all indications. Your oncologist must submit biomarker test results (PD-L1 CPS, MSI-H, or TMB-H), complete staging documentation, and prior therapy history through Cigna's provider portal or CoverMyMeds. Standard approval takes

How to Get Opsumit (Macitentan) Covered by Cigna in New Jersey: Complete Approval Guide with Forms and Appeals

Quick Answer: Cigna requires prior authorization for Opsumit (macitentan) in New Jersey. You need: (1) PAH specialist prescription, (2) right heart catheterization results, (3) monthly pregnancy testing documentation (females), and (4) prior therapy records. Submit through your doctor or EviCore portal. If denied, you have 180 days for internal appeals,

How to Get Ferriprox (Deferiprone) Covered by Cigna in Georgia: Prior Authorization Guide and Appeal Steps

Quick Answer: Getting Ferriprox Covered by Cigna in Georgia Cigna requires prior authorization for Ferriprox (deferiprone) with specific step therapy and monitoring requirements. Your hematologist must document serum ferritin >1,000 mcg/L and submit clinical justification. If denied, you have 180 days for internal appeal, then 60 days

How to Get Nourianz (Istradefylline) Approved by Cigna in Pennsylvania: Complete Timeline and Appeals Guide

Quick Answer: To get Nourianz (istradefylline) covered by Cigna in Pennsylvania, you need concurrent carbidopa/levodopa therapy, documented "off" episodes lasting 3+ hours daily, and neurologist oversight. Standard prior authorization takes 2-5 business days through Express Scripts. If denied, Pennsylvania's new external review program overturns ~50%

How to Get Kanuma (Sebelipase Alfa) Covered by Cigna in New Jersey: Timeline, Appeals, and Approval Guide

Answer Box: Getting Kanuma Covered by Cigna in New Jersey Kanuma (sebelipase alfa) requires prior authorization from Cigna with documented LAL-D diagnosis via enzyme activity testing and genetic confirmation. Standard approval takes 5 business days through Cigna's EviCore portal or provider submission. If denied, New Jersey's