Topic

Cigna

A collection of 1134 issues

The Requirements Checklist to Get Xospata (Gilteritinib) Covered by Cigna in Georgia: Forms, Appeals, and Success Tips

Answer Box: Fastest Path to Xospata Coverage To get Xospata (gilteritinib) covered by Cigna in Georgia, you need prior authorization with FLT3 mutation testing, documented relapsed/refractory AML, and prescriber specialty verification. Submit through Express Scripts/Accredo with complete clinical documentation. If denied, Georgia allows 60 days for external review

How to Get HyperHEP Covered by Cigna in Florida: Prior Authorization Guide and Appeal Strategies

Quick Answer: Cigna requires prior authorization for HyperHEP (hepatitis B immune globulin) in Florida. To get approved, your doctor must submit documentation showing exposure to hepatitis B, your immunity status, and timing within CDC guidelines (ideally within 24 hours, up to 7 days). If denied, you have 180 days to

How to Get Abecma (idecabtagene vicleucel) Covered by Cigna in New Jersey: Complete Prior Authorization Guide

Quick Answer: Getting Abecma Covered by Cigna in New Jersey Eligibility: Adults with relapsed/refractory multiple myeloma after ≥2 prior lines (reduced from 4 lines as of August 2024) including an IMiD, proteasome inhibitor, and anti-CD38 antibody. Fastest path: Submit prior authorization via CoverMyMeds or Cigna provider portal with complete

How to Get Hemgenix (Etranacogene Dezaparvovec) Covered by Cigna in Pennsylvania: Complete Appeals Guide and Timeline

Answer Box: Getting Hemgenix Covered by Cigna in Pennsylvania Hemgenix (etranacogene dezaparvovec) requires prior authorization from Cigna with strict clinical criteria. You must have hemophilia B, be on Factor IX prophylaxis or have serious bleeding history, test negative for inhibitors, and have no prior gene therapy. If denied, Pennsylvania'

Getting Alprolix Covered by Cigna in Michigan: Prior Authorization, Appeals, and Formulary Alternatives Guide

Answer Box: Getting Alprolix Covered by Cigna in Michigan Alprolix (coagulation factor IX, rFIXFc) is typically excluded from Cigna's Express Scripts formulary in 2024, requiring prior authorization and often step therapy with preferred alternatives like Rebinyn, Rixubis, or BeneFIX. Your fastest path to coverage: 1) Have your hematologist

How to Get Symdeko/Symkevi (Tezacaftor/Ivacaftor) Covered by Cigna in New York: Complete Timeline & Appeals Guide

Quick Answer: Getting Symdeko/Symkevi Covered by Cigna in New York Symdeko/Symkevi requires prior authorization from Cigna, typically taking 1-3 weeks with complete documentation. The fastest path: (1) Have your CF specialist submit genetic testing results proving F508del or qualifying mutations, (2) Include a detailed medical necessity letter, and

The Requirements Checklist to Get Tegsedi (inotersen) Covered by Cigna in New Jersey

Quick Answer for New Jersey Patients: Tegsedi (inotersen) requires Cigna prior authorization with mandatory REMS enrollment and strict lab monitoring. You'll need genetic confirmation of hATTR, specialist prescribing, and weekly platelet/kidney function tests. If denied, New Jersey's IHCAP external review program through Maximus gives you

Resources to Get Cometriq (Cabozantinib) Approved with Cigna in Virginia: Forms, Appeals & Contact Directory

Quick Start: Getting Cometriq (Cabozantinib) Covered by Cigna in Virginia Fastest path to approval: Your oncologist must submit a prior authorization to Cigna/Express Scripts for Cometriq capsules (not Cabometyx tablets) with documented medullary thyroid carcinoma diagnosis. Submit through Cigna's provider portal or fax the PA form with

Work With Your Doctor to Get Uptravi (selexipag) Approved by Cigna in Florida: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Uptravi (selexipag) Approved by Cigna in Florida Eligibility: You need confirmed WHO Group I pulmonary arterial hypertension (PAH) with documented right heart catheterization and prior/ongoing background therapy (ERA, PDE5 inhibitor, or prostacyclin). Fastest path: Work with your PAH specialist to submit complete documentation through Cigna'

How to Get Daybue (Trofinetide) Covered by Cigna in California: Prior Authorization, Appeals, and Cost-Saving Strategies

Answer Box: Getting Daybue (Trofinetide) Covered by Cigna in California Daybue (trofinetide) requires prior authorization from Cigna and is dispensed only through specialty pharmacies like Accredo. The fastest path to approval involves three steps: (1) Your neurologist submits a complete PA request with genetic testing showing MECP2 mutation and clinical