Topic

Cigna

A collection of 127 issues

How to Get Besponsa (Inotuzumab Ozogamicin) Covered by Cigna in New Jersey: Complete Appeals Guide

Answer Box: Getting Besponsa Covered by Cigna in New Jersey Besponsa (inotuzumab ozogamicin) requires prior authorization from Cigna with strict documentation of CD22-positive B-cell ALL diagnosis, hepatic monitoring plan, and prior therapy history. If denied, you have 180 days for internal appeals, then 4 months for New Jersey's

Myths vs. Facts: Getting StrataGraft Covered by Cigna in Washington (Appeals Guide & Documentation Tips)

Answer Box: Getting StrataGraft Covered by Cigna in Washington StrataGraft requires prior authorization from Cigna and is only covered for FDA-approved deep partial-thickness thermal burns in adults. Common myths include believing all doctor prescriptions are automatically covered and that pharmacy billing is correct. Reality: You need detailed burn documentation, proper

How to Get Rylaze Approved by Cigna in Pennsylvania: Prior Authorization Forms, Appeal Process, and Medical Necessity Requirements

Answer Box: Getting Rylaze Covered by Cigna in Pennsylvania Rylaze (asparaginase erwinia chrysanthemi [recombinant]-rywn) requires prior authorization from Cigna in Pennsylvania. The fastest path to approval: submit Cigna's Rylaze PA form with documented E. coli asparaginase hypersensitivity, ALL/LBL diagnosis, and oncologist prescription. Standard approval takes 72

How to Get HyperHEP B Covered by Cigna in Pennsylvania: Prior Authorization Guide and Appeal Process

Quick Answer: Getting HyperHEP B Covered by Cigna in Pennsylvania HyperHEP B (hepatitis B immune globulin) requires prior authorization from Cigna for post-exposure prophylaxis. The fastest path to approval: 1) Document the specific exposure event and timing (within 24 hours preferred, up to 7 days), 2) Submit through Cigna'

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

Answer Box: Quick Path to Opdivo Coverage Opdivo (nivolumab) requires prior authorization from Cigna in Georgia. Your oncologist must submit clinical documentation proving medical necessity through Cigna's provider portal or CoverMyMeds. If denied, you have 180 days to file an internal appeal, then up to 4 months for

Myths vs. Facts: Getting Raxone (Idebenone) Covered by Cigna in Washington

Quick Answer: Raxone (idebenone) is not FDA-approved in the US, making Cigna coverage extremely limited and typically requiring compassionate use documentation or formulary exception requests. In Washington, patients have strong appeal rights through internal reviews and binding external IRO reviews. First step: Request written denial reasons from Cigna, then gather

How to Get Enbrel (Etanercept) Covered by Cigna in Ohio: Complete Guide to Prior Authorization and Appeals

Quick Answer: To get Enbrel covered by Cigna in Ohio, you'll need prior authorization showing you've tried required step therapy alternatives (like biosimilar adalimumab) or qualify for an exception. Your rheumatologist must submit clinical documentation proving medical necessity. If denied, Ohio allows internal appeals within 180

How to Get Fintepla (fenfluramine) Covered by Cigna in Virginia: Prior Authorization, Appeals & REMS Requirements

Answer Box: Getting Fintepla Covered by Cigna in Virginia Cigna requires prior authorization for Fintepla (fenfluramine) in Virginia with strict REMS enrollment and echocardiography requirements. Here's your fastest path to approval: 1. Ensure REMS compliance: Both prescriber and patient must be enrolled in the Fintepla REMS program before

How to Get Rylaze Covered by Cigna in Virginia: Complete Decision Tree, Forms & Appeal Guide

Answer Box: Getting Rylaze Covered by Cigna in Virginia You can get Rylaze (asparaginase erwinia chrysanthemi [recombinant]-rywn) covered by Cigna in Virginia if you meet specific criteria. The fastest path: 1) Confirm your ALL/LBL diagnosis and documented E. coli asparaginase hypersensitivity, 2) Have your oncologist submit Cigna'

How to Get Imbruvica (Ibrutinib) Covered by Cigna in Virginia: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Imbruvica (ibrutinib) covered by Cigna in Virginia requires prior authorization through Express Scripts, with specific diagnosis codes and treatment history documentation. If denied, Virginia's State Corporation Commission offers external review within 120 days. Start by having your hematologist/oncologist complete Cigna's oncology PA