Topic

Cigna

A collection of 1127 issues

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

Work With Your Doctor to Get Qalsody (Tofersen) Approved by Cigna in North Carolina: Complete Provider Partnership Guide

Answer Box: Getting Qalsody (Tofersen) Approved by Cigna in North Carolina Eligibility: Adults with ALS due to confirmed SOD1 mutation, prescribed by a neurologist, with documented step therapy (riluzole/edaravone trials). Fastest Path: Partner with your ALS specialist to submit prior authorization through Cigna's provider portal with complete

The Requirements Checklist to Get Evkeeza (evinacumab-dgnb) Covered by Cigna in Washington

Answer Box: Getting Evkeeza Covered by Cigna in Washington Fastest path to approval: Gather genetic HoFH confirmation, recent LDL-C levels (≥300 mg/dL while treated), and documented trials of maximally tolerated statin + ezetimibe + PCSK9 inhibitor. Submit Cigna's prior authorization form through their provider portal with specialist attestation. If

How to Get Soliris (Eculizumab) Covered by Cigna in Washington: Complete Prior Authorization Guide and Appeal Process

Answer Box: Getting Soliris Covered by Cigna in Washington To get Soliris (eculizumab) covered by Cigna in Washington, you need: (1) Complete prior authorization with diagnosis confirmation, vaccination records, and specialist documentation; (2) Submit via Cigna's provider portal or fax to 855.840.1678; (3) If denied, use

Myths vs. Facts: Getting Opsumit (Macitentan) Covered by Cigna in Georgia

Answer Box: Getting Opsumit (Macitentan) Covered by Cigna in Georgia Myth: If your doctor prescribes Opsumit, Cigna must cover it automatically. Fact: Cigna requires prior authorization with specific documentation including confirmed WHO Group 1 PAH diagnosis via right-heart catheterization, specialist involvement (cardiologist or pulmonologist), and detailed medical necessity justification. If

How to Get Ibrance (palbociclib) Covered by Cigna in New Jersey: Complete Prior Authorization and Appeals Guide

Quick Answer: Cigna requires prior authorization for Ibrance (palbociclib) in New Jersey for HR+/HER2- metastatic breast cancer. Submit pathology reports proving hormone receptor status, treatment history, and combination therapy plan through Cigna's provider portal. If denied, you have 180 days for internal appeals, then 4 months for

How to Get Lumizyme (Alglucosidase Alfa) Covered by Cigna in Illinois: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Lumizyme Covered by Cigna in Illinois Cigna requires prior authorization for Lumizyme (alglucosidase alfa) in Illinois. To get approval, you need: (1) confirmed Pompe disease diagnosis with enzyme/genetic testing, (2) specialist prescriber documentation, and (3) medical necessity letter showing clinical rationale. If denied, Illinois provides automatic

How to Get Galafold (migalastat) Approved by Cigna in New York: Complete Timeline and Appeal Guide

Answer Box: Getting Galafold Approved by Cigna in New York Eligibility: Adults with Fabry disease and a confirmed amenable GLA variant. Fastest path: Submit prior authorization with genetic testing proof of amenable variant, specialist prescription, and medical necessity letter through Cigna's ePA portal. Timeline: 5-15 business days for

How to Get Strimvelis Gene Therapy Covered by Cigna in Ohio: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Strimvelis Covered by Cigna in Ohio Strimvelis coverage requires prior authorization with genetic confirmation of ADA-SCID and documentation of failed standard treatments. Since Strimvelis is only available at SR-TIGET in Milan, Italy, you'll need out-of-network authorization. Start by calling Cigna member services to verify international

Myths vs. Facts: Getting Sylvant (siltuximab) Covered by Cigna in Texas (Complete Guide with Forms and Appeal Scripts)

Answer Box: Getting Sylvant (siltuximab) Covered by Cigna in Texas Eligibility: Cigna covers Sylvant for HIV-negative, HHV-8-negative idiopathic multicentric Castleman disease (iMCD) with prior authorization. Fastest path: Submit complete PA packet with pathology report, negative HIV/HHV-8 labs, and medical necessity letter to Cigna at 855-840-1678. First step today: Contact