Topic

Cigna

A collection of 1135 issues

Myths vs. Facts: Getting Rezlidhia (olutasidenib) Covered by Cigna in Virginia - Complete Appeals Guide

Answer Box: Getting Rezlidhia (olutasidenib) Covered by Cigna in Virginia Eligibility: Adults with relapsed/refractory AML and documented IDH1 mutation via FDA-approved test. Fastest path: Have your oncologist submit complete prior authorization with IDH1 test results, treatment history, and medical necessity letter referencing NCCN guidelines. First step today: Call Cigna
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Getting Zokinvy (Lonafarnib) Covered by Cigna in Florida: Prior Authorization, Appeals, and Alternative Options

Answer Box: Getting Zokinvy Approved by Cigna in Florida Zokinvy (lonafarnib) requires prior authorization from Cigna and is typically covered on the specialty tier for FDA-approved indications (HGPS and processing-deficient progeroid laminopathies). Key requirements: genetic confirmation of LMNA mutation, patient ≥12 months old with BSA ≥0.39 m², and prescription
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How to Get Jaypirca (Pirtobrutinib) Covered by Cigna in Michigan: Complete Coding, Prior Authorization & Appeals Guide

Answer Box: Getting Jaypirca Covered by Cigna in Michigan Cigna requires prior authorization for Jaypirca (pirtobrutinib) through Express Scripts/Accredo specialty pharmacy. You must document FDA-approved indications (relapsed MCL or CLL/SLL after prior BTK inhibitor therapy) with proper ICD-10 codes and complete treatment history. If denied, Michigan allows 127
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How to Get Photrexa (Riboflavin) Covered by Cigna in Virginia: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Photrexa Covered by Cigna in Virginia Cigna requires prior authorization for Photrexa (riboflavin ophthalmic solution) used in corneal cross-linking for keratoconus in Virginia. Your ophthalmologist must document progressive disease with serial corneal topography showing ≥1.0 diopter increase in maximum keratometry (Kmax) and failed conservative treatments. Submit
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Getting Elzonris (Tagraxofusp-erzs) Covered by Cigna in Georgia: Complete Appeals Guide and Cost-Saving Strategies

Answer Box: Fast Track to Elzonris Coverage Getting Elzonris covered by Cigna in Georgia requires prior authorization with specific BPDCN diagnosis documentation and capillary leak syndrome monitoring plans. Your hematologist must submit pathology reports confirming CD123-positive BPDCN, establish a CLS monitoring protocol, and coordinate with Accredo specialty pharmacy. If denied,
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How to Get Tavalisse (Fostamatinib) Covered by Cigna in Florida: Complete Prior Authorization and Renewal Guide

Answer Box: Getting Tavalisse (Fostamatinib) Covered by Cigna in Florida Cigna typically covers Tavalisse (fostamatinib) for chronic immune thrombocytopenia (ITP) after prior therapy failures, but requires prior authorization with hematologist consultation. Submit renewal documentation 30 days before expiration to avoid gaps. In Florida, you have 180 days to file internal
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