Topic

Cigna

A collection of 1134 issues

Get Onpattro (Patisiran) Covered by Cigna in Florida: Prior Authorization, Appeals, and Cost Savings Guide

Answer Box: Getting Onpattro Covered by Cigna in Florida Onpattro (patisiran) requires prior authorization from Cigna in Florida for all plans. To get approved, you need genetic confirmation of hATTR amyloidosis with polyneuropathy, specialist evaluation, and complete clinical documentation. If denied, Florida law guarantees internal appeals (180 days) and external

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

Quick Answer: Getting Opdivo Covered by Cigna in New Jersey Opdivo (nivolumab) requires prior authorization from Cigna in New Jersey. Your oncologist must submit an electronic PA through CoverMyMeds or Cigna's provider portal with complete clinical documentation including diagnosis, staging, prior treatments, and biomarker results where required. If

How to Get Kesimpta (Ofatumumab) Covered by Cigna in Georgia: Complete Coding, Prior Authorization, and Appeal Guide

Quick Answer: Getting Kesimpta Covered by Cigna in Georgia Kesimpta (ofatumumab) requires prior authorization from Cigna in Georgia. The fastest path: Your neurologist submits a PA request with ICD-10 code G35 (Multiple Sclerosis), documented hepatitis B screening, and evidence of failed first-line DMTs. If denied, you have 180 days to

Get Humate-P Covered by Cigna in Washington: Prior Authorization Guide and Appeal Timeline

Answer Box: How to Get Humate-P Covered by Cigna in Washington Cigna requires prior authorization for Humate-P (antihemophilic factor/vWF complex) with mandatory step therapy documentation. The fastest path to approval: 1) Have your hematologist complete Cigna's Hemophilia Factor VIII CCRD Prior Authorization Form with documented desmopressin trial

How to Get Tegsedi (inotersen) Covered by Cigna in Pennsylvania: Decision Tree, Forms & Appeals

Answer Box: Quick Eligibility Check To get Tegsedi (inotersen) covered by Cigna in Pennsylvania: You need confirmed hATTR polyneuropathy with genetic testing, specialist prescription, REMS enrollment, and often proof you've tried Onpattro (patisiran) first. Submit prior authorization through Express Scripts specialty pharmacy with complete documentation. If denied, use

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

Quick Answer: Getting Zokinvy Covered by Cigna in New Jersey Zokinvy (lonafarnib) requires prior authorization from Cigna with strict criteria: confirmed HGPS diagnosis via LMNA genetic testing, age ≥12 months, BSA ≥0.39 m², and prescription by a geneticist or pediatric cardiologist. If denied, New Jersey's IHCAP external

How to Get Humira (adalimumab) Covered by Cigna in California: 2025 Biosimilar Changes and Appeal Guide

Quick Answer: Getting Humira (adalimumab) Covered by Cigna in California Starting in 2025, Cigna's Express Scripts has removed brand-name Humira from most commercial formularies, favoring biosimilar alternatives at $0 copay through Accredo. To get Humira covered, you'll need a formulary exception with clinical documentation showing biosimilar

How Long Does It Take to Get Trikafta Approved by Cigna in Virginia? Complete Timeline and Appeals Guide

Answer Box: Getting Trikafta Approved by Cigna in Virginia Standard Cigna prior authorization for Trikafta takes up to 5 business days in Virginia, or 2 calendar days for expedited requests. You'll need F508del mutation documentation, CF specialist prescription, and complete clinical records. If denied, you have 180 days

How to Get Bavencio (avelumab) Covered by Cigna in Florida: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Bavencio Covered by Cigna in Florida Bavencio (avelumab) requires prior authorization from Cigna in Florida and is typically placed in Tier 5 (specialty drug) with step therapy requirements. Your fastest path to approval: 1. Submit PA electronically via CoverMyMeds or Cigna's provider portal with complete

How to Get Entresto (Sacubitril/Valsartan) Covered by Cigna in Virginia: Forms, Appeals, and Step Therapy Rights

Answer Box: Getting Entresto Covered by Cigna in Virginia Entresto (sacubitril/valsartan) requires prior authorization from Cigna, with step therapy requiring documented ACE inhibitor or ARB trial failure. Submit your PA request via CoverMyMeds or fax to 1-866-873-8279 with heart failure diagnosis, LVEF results, and medication history. If denied, file