Topic

Cigna

A collection of 607 issues

Getting Gattex (Teduglutide) Covered by Cigna in Pennsylvania: Forms, Appeals, and Cost-Saving Strategies

Answer Box: Fast Track to Approval Cigna requires prior authorization for Gattex (teduglutide) in Pennsylvania. Your gastroenterologist must document short bowel syndrome with parenteral nutrition dependency, failed enteral strategies, and ongoing monitoring. If denied, Pennsylvania's external review program has a 50% overturn rate. First step today: Have your

Getting StrataGraft Covered by Cigna in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Getting StrataGraft Covered by Cigna in North Carolina StrataGraft requires prior authorization from Cigna for deep partial-thickness thermal burns in adults. The fastest path to approval involves submitting a complete PA request with burn specialist documentation, wound measurements, and photos using HCPCS code J7353. If denied, North Carolina

How to Get Tysabri (Natalizumab) Covered by Cigna in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tysabri Covered by Cigna in New York Tysabri (natalizumab) requires prior authorization from Cigna and is covered under the medical benefit as a specialty infusion. Key requirements: TOUCH program enrollment for patient, prescriber, and infusion site; documented failure of at least one MS therapy; current MRI and

Getting Krystexxa (Pegloticase) Covered by Cigna in Michigan: Complete Prior Authorization and Appeals Guide

Answer Box: Get Krystexxa (Pegloticase) Covered by Cigna in Michigan Fastest path to approval: 1) Have your rheumatologist document failed allopurinol and febuxostat trials (minimum 3 months each) with persistent uric acid >6 mg/dL, 2) Submit Cigna's Krystexxa Prior Authorization Form with G6PD test results and

How to Get Trikafta Covered by Cigna in Ohio: Complete Prior Authorization & Appeals Guide

Answer Box: Getting Trikafta Covered by Cigna in Ohio Cigna covers Trikafta (elexacaftor/tezacaftor/ivacaftor) for eligible cystic fibrosis patients in Ohio with prior authorization. You need: genetic testing confirming at least one F508del or responsive CFTR mutation, age ≥2 years, and a CF specialist's prescription. Submit PA

How to Get Rylaze (Asparaginase Erwinia Chrysanthemi) Covered by Cigna in New York: Complete Appeals Guide with State Protections

Answer Box: Getting Rylaze Covered by Cigna in New York Rylaze (asparaginase erwinia chrysanthemi) requires prior authorization from Cigna, with specific documentation of hypersensitivity to E. coli-derived asparaginase. Your fastest path to approval: (1) Gather proof of allergic reaction to Oncaspar/pegaspargase, (2) Have your oncologist complete Cigna's

How Long Does It Take to Get Revcovi (Elapegademase) Approved by Cigna in Florida? Complete Timeline & Appeal Guide

Answer Box: Revcovi Approval Timeline with Cigna in Florida Standard Cigna approval for Revcovi (elapegademase) takes 7-30 days in Florida, depending on documentation completeness and review complexity. Fastest path: Submit complete prior authorization with genetic ADA-SCID confirmation, immunologist letter, and treatment history through Cigna's provider portal. Start today:

How to Get Procysbi (Cysteamine Bitartrate DR) Covered by Cigna in Texas: Prior Authorization, Appeals, and Step Therapy Guide

Answer Box: Getting Procysbi Covered by Cigna in Texas Cigna requires prior authorization for Procysbi (cysteamine bitartrate delayed-release) and mandates step therapy with immediate-release cysteamine (Cystagon) first. To get coverage in Texas: (1) Document failed/intolerant trial of Cystagon, (2) Submit PA with genetic testing and WBC cystine levels, (3)

If Gamifant (Emapalumab-lzsg) Isn't Approved by Cigna in Florida: Formulary Alternatives & Exception Paths

Answer Box: If Cigna denies Gamifant (emapalumab-lzsg) for primary HLH in Florida, your options include: 1) Trying conventional HLH therapy (etoposide + dexamethasone ± cyclosporine) if clinically appropriate, 2) Requesting a formulary exception with detailed clinical rationale, or 3) Filing an internal appeal within 180 days. Start by having your hematologist submit

Myths vs. Facts: Getting Hetlioz (Tasimelteon) Covered by Cigna in Washington

Answer Box: Hetlioz Coverage Through Cigna in Washington Myth: If your doctor prescribes Hetlioz, Cigna automatically covers it. Fact: Cigna requires prior authorization with documented step therapy (ramelteon + one other sleep medication failure) and specialist confirmation of Non-24-Hour Sleep-Wake Disorder or Smith-Magenis Syndrome. Submit PA forms through the Cigna provider