Topic

Cigna

A collection of 1126 issues

How to Get Soliris (eculizumab) Covered by Cigna in Ohio: Complete Coding, Prior Authorization, and Appeals Guide

Answer Box: Get Soliris (eculizumab) Covered by Cigna in Ohio Fastest Path to Approval: Submit complete prior authorization with proper coding (HCPCS J1300, correct NDC 25682-0001-01, diagnosis-specific ICD-10), meningococcal vaccination records, and REMS enrollment documentation. If denied, file internal appeal within 180 days, then request Ohio external review through Independent

How to Get Amondys 45 (Casimersen) Covered by Cigna in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Amondys 45 Covered by Cigna in New York Eligibility: Amondys 45 (casimersen) requires Cigna prior authorization for patients with DMD and genetic confirmation of exon 45 skipping amenability. Fastest path: Submit complete PA with CLIA-certified genetic testing, specialist prescription, and current weight-based dosing plan through Cigna provider

Renewing Somatuline Depot (Lanreotide) Approval with Cigna in Georgia: Complete Timeline and Documentation Guide

Answer Box: Renewing Your Somatuline Depot Coverage Cigna requires annual prior authorization (PA) renewal for Somatuline Depot (lanreotide) in Georgia. Start the renewal process 30-60 days before your current PA expires to avoid treatment gaps. You'll need updated clinical documentation showing continued medical necessity, treatment response, and ongoing

How to Get Hetlioz (tasimelteon) Covered by Cigna in Pennsylvania: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Hetlioz (tasimelteon) Covered by Cigna in Pennsylvania Eligibility: Hetlioz requires prior authorization from Cigna for Non-24-Hour Sleep-Wake Disorder (adults 18+, totally blind) or Smith-Magenis syndrome (ages 3+). Fastest path: Gather sleep specialist notes, failed step therapy documentation (ramelteon + one sedative), and submit PA via Cigna provider portal.

If Skyrizi (Risankizumab) Isn't Approved by Cigna in Georgia: Formulary Alternatives & Exception Paths

Answer Box: When Cigna Denies Skyrizi (Risankizumab) in Georgia If Cigna denies Skyrizi (risankizumab) coverage in Georgia, you have three main paths: 1) Try formulary alternatives like Tremfya or Cosentyx that may be preferred, 2) Request a formulary exception with clinical documentation showing medical necessity, or 3) Appeal the denial

How to Get Darzalex/Darzalex Faspro (Daratumumab) Covered by Cigna in California: Complete Prior Authorization & Appeals Guide

Answer Box: Getting Darzalex Covered by Cigna in California Darzalex/Darzalex Faspro requires prior authorization from Cigna, but approval is achievable with proper documentation. In California, you have strong appeal rights through the DMHC's Independent Medical Review process if initially denied. Fastest path to approval: 1. Submit Cigna&

How to Get Voydeya (Danicopan) Covered by Cigna in Georgia: Complete Appeals Guide with Forms and Deadlines

Quick Answer: Getting Voydeya Covered by Cigna in Georgia Cigna requires prior authorization for Voydeya (danicopan) with strict documentation of PNH diagnosis by flow cytometry, ongoing C5 inhibitor therapy, and evidence of extravascular hemolysis. If denied, you have 180 days for internal appeal, then 60 days for Georgia external review.

How to Get Haegarda (C1-esterase inhibitor, SC) Covered by Cigna in Ohio: Appeals, Alternatives & Success Strategies

Answer Box: Getting Haegarda Covered by Cigna in Ohio Haegarda (C1-esterase inhibitor, SC) requires prior authorization from Cigna in Ohio. Your fastest path to approval: 1) Have your HAE specialist submit a PA request with confirmed HAE diagnosis, failed oral alternatives, and clinical rationale through Cigna's provider portal.

The Requirements Checklist to Get Cresemba (Isavuconazole) Covered by Cigna in Texas

Answer Box: Get Cresemba (Isavuconazole) Covered by Cigna in Texas Cigna requires prior authorization for Cresemba (isavuconazole) with strict clinical criteria. Fastest approval path: Submit complete PA form with confirmed invasive aspergillosis/mucormycosis diagnosis, infectious disease specialist documentation, and prior therapy failure records. First step today: Contact your prescribing physician

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

Answer Box: Getting Firazyr Covered by Cigna in Illinois Firazyr (icatibant) requires prior authorization from Cigna for HAE treatment in Illinois. You'll need confirmed HAE Type I/II diagnosis with low C1-INH and C4 levels, plus a specialist's prescription. First step today: Contact your allergist/immunologist