Topic

Cigna

A collection of 1134 issues

How to Get Ocrevus (Ocrelizumab) Covered by Cigna in Virginia: Complete Appeals Guide with Forms and Timelines

Quick Answer: Getting Ocrevus Covered by Cigna in Virginia Ocrevus (ocrelizumab) requires prior authorization from Cigna and is typically dispensed through Accredo specialty pharmacy. Your neurologist must submit documentation proving MS diagnosis and, depending on your plan, may need to show you've tried other disease-modifying therapies first. If

How to Get Isturisa (Osilodrostat) Covered by Cigna in Ohio: Complete Cost Guide with Appeals Process

Answer Box: Getting Isturisa Covered by Cigna in Ohio Isturisa (osilodrostat) requires prior authorization through Cigna's specialty pharmacy network (Accredo) and is typically covered on Tier 4/5 with high cost-sharing. Your endocrinologist must submit documentation proving Cushing's disease diagnosis, surgical history, and medical necessity. If

Denied for Orfadin (Nitisinone) by Cigna in Washington? How to Appeal (Templates & Timelines)

Answer Box: Cigna requires prior authorization for Orfadin (nitisinone) with confirmed HT-1 diagnosis (elevated succinylacetone), genetic testing, dietary management plan, and metabolic specialist involvement. If denied, you have 180 days for internal appeals and can request external review through Washington's Independent Review Organization. First step today: Gather your

Denied Kalydeco (Ivacaftor) by Cigna in Georgia? Complete Appeals Guide with Forms and Deadlines

Answer Box: Getting Kalydeco Covered by Cigna in Georgia If Cigna denied your Kalydeco (ivacaftor) prescription, you have 180 days to file an internal appeal and 60 days for external review after final denial. Start today by gathering your CFTR genetic test results, CF specialist's clinical notes, and

Hetlioz LQ (Tasimelteon Oral Suspension) Cigna Coverage in New Jersey: Complete Prior Authorization Guide and Appeals Process

Answer Box: Getting Hetlioz LQ (Tasimelteon Oral Suspension) Covered by Cigna in New Jersey Cigna covers Hetlioz LQ for pediatric patients (ages 3-15) with Smith-Magenis syndrome in New Jersey, but requires prior authorization with strict documentation. The fastest path to approval: 1) Confirm SMS diagnosis with genetic testing, 2) Document

How to Get Somatuline Depot (Lanreotide) Covered by Cigna in Virginia: Appeals, State Protections & Prior Authorization Guide

Answer Box: Getting Somatuline Depot Covered by Cigna in Virginia Cigna requires prior authorization for Somatuline Depot (lanreotide) in Virginia, typically with step therapy requiring octreotide trial first. If denied, Virginia law provides strong protections: you have 180 days for internal appeals and 120 days for external review through the

How to Get Ultomiris (Ravulizumab) Approved by Cigna in New York: Complete Guide to Coverage and Appeals

Answer Box: Getting Ultomiris Covered by Cigna in New York Cigna requires prior authorization for Ultomiris (ravulizumab) in New York for all FDA-approved conditions: PNH, aHUS, generalized myasthenia gravis, and NMOSD. The fastest path to approval: Have your specialist complete Cigna's Ultomiris PA form with complete diagnosis documentation,

Getting Gattex (Teduglutide) Covered by Cigna in Pennsylvania: Forms, Appeals, and Cost-Saving Strategies

Answer Box: Fast Track to Approval Cigna requires prior authorization for Gattex (teduglutide) in Pennsylvania. Your gastroenterologist must document short bowel syndrome with parenteral nutrition dependency, failed enteral strategies, and ongoing monitoring. If denied, Pennsylvania's external review program has a 50% overturn rate. First step today: Have your

Getting StrataGraft Covered by Cigna in North Carolina: Complete Prior Authorization and Appeals Guide

Answer Box: Getting StrataGraft Covered by Cigna in North Carolina StrataGraft requires prior authorization from Cigna for deep partial-thickness thermal burns in adults. The fastest path to approval involves submitting a complete PA request with burn specialist documentation, wound measurements, and photos using HCPCS code J7353. If denied, North Carolina

How to Get Tysabri (Natalizumab) Covered by Cigna in New York: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Tysabri Covered by Cigna in New York Tysabri (natalizumab) requires prior authorization from Cigna and is covered under the medical benefit as a specialty infusion. Key requirements: TOUCH program enrollment for patient, prescriber, and infusion site; documented failure of at least one MS therapy; current MRI and