Topic

Cigna

A collection of 1123 issues

How to Get Venclexta (venetoclax) Covered by Cigna in Illinois: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Venclexta Covered by Cigna in Illinois Venclexta (venetoclax) requires prior authorization through Cigna and is classified as Tier 4 specialty drug. For CLL/SLL, you must meet specific clinical criteria including age ≥18 and either prior systemic therapy or del(17p)/TP53 mutation with BTK inhibitor ineligibility.

How to Get Oxervate (Cenegermin) Covered by Cigna in Illinois: Complete Forms, Appeals & Approval Guide

Quick Answer: Getting Oxervate (Cenegermin) Covered by Cigna in Illinois Oxervate requires prior authorization from Cigna for neurotrophic keratitis treatment. Your ophthalmologist must submit a PA request through CoverMyMeds or fax (855) 840-1678 with documentation of stage 2/3 diagnosis and failed conservative treatments. Cigna covers up to 8 weeks

How to Get Kalydeco (Ivacaftor) Covered by Cigna in Florida: Complete Coding, Prior Authorization & Appeals Guide

Quick Answer: Kalydeco requires prior authorization from Cigna with documented CFTR mutation testing (G551D, R117H, or other responsive mutations) and ICD-10 code E84.0-E84.9. Your CF specialist must submit genetic testing results, medical necessity documentation, and complete prior authorization within 72 hours for standard review. If denied, Florida residents

Do You Qualify for Keppra (Levetiracetam) Coverage by Cigna in Virginia? Decision Tree & Next Steps

Answer Box: Quick Coverage Assessment Most likely to get approved: Generic levetiracetam is typically covered by Cigna without prior authorization. Brand Keppra requires medical necessity documentation showing generic failure or intolerance. First step today: Call Cigna at 1-800-997-1654 to verify your specific formulary tier and PA requirements. If denied, Virginia&

Getting Opfolda (miglustat) Covered by Cigna in Virginia: Prior Authorization, Appeals & Cost Assistance

Answer Box: Getting Opfolda (miglustat) Covered by Cigna in Virginia Quick Path to Coverage: Opfolda (miglustat) requires prior authorization from Cigna and must be prescribed with Pombiliti for late-onset Pompe disease in adults ≥40 kg. Your doctor submits the PA request through CoverMyMeds or Accredo's portal, including proof

How to Get Nucala (Mepolizumab) Covered by Cigna in Illinois: Complete Prior Authorization Guide with Appeals

Answer Box: Getting Nucala (Mepolizumab) Covered by Cigna in Illinois Fastest path to approval: Submit Cigna's prior authorization form with blood eosinophil count ≥150 cells/μL (recent) or ≥300 cells/μL (past year), proof of current systemic corticosteroid use for 4+ weeks, and prescriber credentials from an allergist,

Getting Uptravi (Selexipag) Covered by Cigna in North Carolina: Prior Authorization Guide, Appeals Process & Alternative Options

Answer Box: Quick Path to Uptravi (Selexipag) Coverage To get Uptravi covered by Cigna in North Carolina: Your cardiologist or pulmonologist must submit prior authorization with WHO Group 1 PAH diagnosis via right heart catheterization, functional class documentation, and prior therapy trials. If denied, file internal appeal within 180 days,

How to Get Tremfya (Guselkumab) Covered by Cigna in Illinois: Complete PA Guide and Appeal Timeline

Answer Box: Getting Tremfya Covered by Cigna in Illinois Who qualifies: Adults with moderate-to-severe plaque psoriasis, psoriatic arthritis, Crohn's disease, or ulcerative colitis who meet Cigna's clinical criteria. Fastest approval path: Submit prior authorization through your specialist (dermatologist for psoriasis, gastroenterologist for IBD) with documentation of

Getting Raxone (Idebenone) Covered by Cigna in Florida: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Raxone (Idebenone) Covered by Cigna in Florida Key Challenge: Raxone (idebenone) is not FDA-approved in the US, making coverage extremely difficult through standard channels. Fastest path: Request a formulary exception with comprehensive medical necessity documentation for LHON treatment. First step today: Contact your prescribing physician to initiate

Work With Your Doctor to Get Pyrukynd (mitapivat) Covered by Cigna in Ohio: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Pyrukynd Covered by Cigna in Ohio To get Pyrukynd (mitapivat) covered by Cigna in Ohio, you need genetic confirmation of pyruvate kinase deficiency with at least 2 PKLR gene variants (including 1 missense), prescription from a hematologist, and documented hemolytic anemia. Start by requesting genetic testing through