Topic

Cigna

A collection of 1135 issues

How to Get Opzelura (Ruxolitinib Cream) Covered by Cigna in Pennsylvania: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Opzelura Covered by Cigna in Pennsylvania Fastest Path to Approval: Cigna requires prior authorization for Opzelura (ruxolitinib cream) with mandatory step therapy. You must document failed trials of topical corticosteroids (≥28 days) AND calcineurin inhibitors (≥12 weeks) before approval. If denied, Pennsylvania's new external review

How Long Does It Take to Get Cresemba (isavuconazole) Approved by Cigna in New Jersey? Complete Timeline & Appeal Guide

Answer Box: Getting Cresemba Approved by Cigna in New Jersey Timeline: Cigna typically approves Cresemba (isavuconazole) within 2-5 business days after receiving complete documentation. Fastest path: Submit prior authorization through your doctor's office with complete clinical records showing invasive aspergillosis or mucormycosis diagnosis, infectious disease consultation, and documentation

How to Get Zolgensma Covered by Cigna in Ohio: Complete Appeals Guide with Forms and Timelines

Quick Answer: Getting Zolgensma Approved by Cigna in Ohio Fastest path to approval: Submit complete prior authorization with genetic confirmation of bi-allelic SMN1 mutations, anti-AAV9 antibody titer ≤1:50, age verification (<24 months), and steroid protocol documentation through Cigna's specialty pharmacy (Accredo). If denied, file internal appeal

How to Get Symdeko/Symkevi Covered by Cigna in Illinois: Prior Authorization Forms, Appeals Timeline & Documentation Guide

Quick Answer: Getting Symdeko/Symkevi Approved by Cigna in Illinois Eligibility: Cigna covers Symdeko (tezacaftor/ivacaftor) for cystic fibrosis patients age 6+ with specific CFTR mutations, prescribed by a pulmonologist or CF specialist. Fastest path: Have your CF specialist submit prior authorization with genetic testing results, clinical notes, and medical

How to Renew Enbrel (etanercept) Coverage with Cigna in Florida: Complete Timeline and Documentation Guide

Quick Answer: Renewing Enbrel Coverage with Cigna in Florida Start your Enbrel renewal 2-4 weeks before expiration. You'll need documented clinical benefit (improvement in disease activity scores), continued medical necessity from your rheumatologist, and recent lab results. Submit electronically via Cigna's provider portal or fax to

Getting Strimvelis Gene Therapy Covered by Cigna in New Jersey: Complete Guide to Prior Authorization and Appeals

Quick Answer: Cigna Coverage for Strimvelis in New Jersey Eligibility: Strimvelis requires prior authorization from Cigna as it's not FDA-approved and only available at SR-TIGET in Milan, Italy. Coverage depends on demonstrating medical necessity and exhausting standard treatments. Fastest Path: 1) Confirm international coverage benefits, 2) Submit comprehensive

How to Get Blenrep (Belantamab Mafodotin) Covered by Cigna in Pennsylvania: Complete Appeals Guide

Answer Box: Getting Blenrep Covered by Cigna in Pennsylvania Blenrep (belantamab mafodotin) is currently withdrawn from the U.S. market as of 2022, with FDA resubmission under review (PDUFA date October 2025). Access is limited to clinical trials or expanded access programs. If you're seeking coverage, you'

Getting Garadacimab (ANDEMBRY) Covered by Cigna in California: Complete 2025 Prior Authorization Guide

Quick Answer: Getting Garadacimab Covered by Cigna in California Yes, Cigna covers garadacimab (ANDEMBRY®) for hereditary angioedema prophylaxis in California, but prior authorization is required. The fastest path: gather HAE diagnosis labs (C4, C1-INH levels), document failed prior therapies, complete REMS training, and submit through Express Scripts' portal. If

Renewing Vyondys 53 (Golodirsen) Coverage with Cigna in Florida: 2025 Requirements, Timeline & Evidence Guide

Answer Box: Vyondys 53 Renewal with Cigna in Florida Cigna requires annual renewal of Vyondys 53 (golodirsen) prior authorization for Duchenne Muscular Dystrophy patients in Florida. Start the renewal process 30-45 days before your current authorization expires to avoid treatment gaps. Required documentation includes updated clinical progress notes with current

How to Get Exondys 51 (Eteplirsen) Covered by Cigna in New Jersey: Complete Forms, Appeals & Contact Guide

Answer Box: Getting Exondys 51 Covered by Cigna in New Jersey To get Exondys 51 (eteplirsen) approved by Cigna in New Jersey, you need genetic testing confirming a DMD mutation amenable to exon 51 skipping, specialist prescription, and proof of ambulatory status. The fastest path: 1) Complete Cigna's