Topic

Cigna

A collection of 1134 issues

How to Get Chenodal (Chenodiol) Covered by Cigna in Washington: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Chenodal Covered by Cigna in Washington Cigna requires prior authorization for Chenodal (chenodiol) with mandatory step therapy—you must try ursodiol for 6 months first unless contraindicated. Your gastroenterologist submits the PA request through Cigna's provider portal, and standard approval takes 2 business days. If

How to Get Tavneos (Avacopan) Covered by Cigna in California: Prior Authorization, Appeals, and Alternative Options

Answer Box: Getting Tavneos Covered by Cigna in California Fastest path to approval: Cigna requires prior authorization for Tavneos (avacopan) with strict criteria—it must be prescribed by a rheumatologist, nephrologist, or pulmonologist for severe active ANCA-associated vasculitis (GPA/MPA) as an adjunct to standard immunosuppressive therapy (rituximab or cyclophosphamide)

Work With Your Doctor to Get Kalydeco (ivacaftor) Covered by Cigna in Ohio: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Kalydeco (ivacaftor) Covered by Cigna in Ohio Eligibility: Kalydeco requires prior authorization from Cigna with documented CFTR mutation testing confirming a responsive genotype (G551D, R117H, or other FDA-approved mutations). Fastest Path: Your CF specialist submits a medical necessity letter with genetic test results, diagnosis confirmation, and treatment

Complete Guide to Getting Somatuline Depot (Lanreotide) Covered by Cigna in Florida: Prior Authorization, Appeals, and Requirements Checklist

Answer Box: Get Somatuline Depot Covered by Cigna in Florida Fastest path to approval: Submit prior authorization through CoverMyMeds with documented octreotide trial failure, specialist letter, and complete clinical notes. Cigna requires step therapy (octreotide first) and Accredo specialty pharmacy for ongoing fills. First step today: Have your endocrinologist or

How to Get Strimvelis Gene Therapy Covered by Cigna in North Carolina: Forms, Appeals, and Smart NC External Review

Answer Box: Getting Strimvelis Covered by Cigna in North Carolina Strimvelis (autologous CD34+ ADA-SCID gene therapy) requires prior authorization from Cigna and is only available at SR-TIGET in Milan, Italy. For North Carolina residents, the fastest path to approval involves: (1) Submit PA request via CoverMyMeds with confirmed ADA-SCID diagnosis

How to Get Ilaris (Canakinumab) Covered by Cigna in Ohio: Complete Prior Authorization and Appeal Guide

Answer Box: Getting Ilaris (Canakinumab) Covered by Cigna in Ohio To get Ilaris (canakinumab) covered by Cigna in Ohio, you need prior authorization showing medical necessity. The fastest path: Have your specialist complete Cigna's PA form with elevated CRP labs (≥10 mg/L), documented failure of standard treatments

How to Get Orfadin (nitisinone) Covered by Cigna in Texas: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Orfadin (nitisinone) Covered by Cigna in Texas Cigna requires prior authorization for Orfadin (nitisinone) with specific HT-1 documentation through Express Scripts specialty pharmacy. If denied, you have 180 days for internal appeals and can request Texas Independent Review Organization (IRO) external review within 4 months of final

How to Get Acthar Gel Covered by Cigna in California: Complete Prior Authorization and Appeal Guide

Answer Box: Get Acthar Gel Covered by Cigna in California Cigna requires prior authorization for Acthar Gel (repository corticotropin injection) with mandatory step therapy through systemic corticosteroids and Cortrophin for most conditions except infantile spasms and acute MS exacerbations. California residents have strong appeal rights through the state's

How to Get Nourianz (Istradefylline) Covered by Cigna in North Carolina: Appeals Guide with Forms and Timelines

Answer Box: Getting Nourianz Covered by Cigna in North Carolina Cigna requires prior authorization for Nourianz (istradefylline) with strict step therapy requirements. You must have tried and failed amantadine, a MAO-B inhibitor (like rasagiline), and a COMT inhibitor (like entacapone) before approval. If denied, Cigna members have strong appeal rights

How to Get Oxlumo (Lumasiran) Covered by Cigna in Michigan: Complete Prior Authorization and Appeals Guide

Quick Answer: To get Oxlumo (lumasiran) covered by Cigna in Michigan, you'll need prior authorization with confirmed PH1 diagnosis, genetic testing (AGXT), nephrologist prescription, and documented urinary oxalate levels. Submit via CoverMyMeds or Cigna portal. If denied, use Michigan's 180-day internal appeal window, then DIFS external