Topic

Cigna

A collection of 1135 issues

How to Get Rezlidhia (olutasidenib) Covered by Cigna in Ohio: Prior Authorization Forms, Appeals Process, and Timeline Guide

Answer Box: Getting Rezlidhia (olutasidenib) Covered by Cigna in Ohio To get Rezlidhia (olutasidenib) covered by Cigna in Ohio, you need: prior authorization with IDH1 mutation test results, prescription from an oncologist/hematologist, and documentation of relapsed/refractory AML. Cigna decides within 72 hours for standard cases, 24 hours for

How to Get Ibrance (Palbociclib) Covered by Cigna in Georgia: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Ibrance Covered by Cigna in Georgia Cigna requires prior authorization for Ibrance (palbociclib) with step therapy protocols. You'll need HR+/HER2- breast cancer documentation, proof of trying ribociclib or abemaciclib first (unless contraindicated), and combination with endocrine therapy. First step today: Have your oncologist gather

How to Get Duopa (Carbidopa/Levodopa Enteral) Covered by Cigna in New Jersey: Complete Requirements Guide and Appeals Process

Answer Box: Getting Duopa Covered by Cigna in New Jersey Eligibility: Cigna requires prior authorization for Duopa (carbidopa/levodopa enteral) for members with advanced Parkinson's disease experiencing at least 3 hours daily of "OFF" episodes despite optimized oral therapy. Fastest Path to Approval: 1. Have your

How to Get Alecensa (alectinib) Covered by Cigna in California: Forms, Appeals, and Contact Numbers

Quick Answer: Getting Alecensa (alectinib) Covered by Cigna in California Your doctor must submit a prior authorization request with ALK-positive test results and complete clinical documentation. In California, Cigna has 72 hours to respond to non-urgent requests (24 hours for urgent cases). If denied, you can appeal internally through Cigna,

How Long Does It Take to Get Elelyso (taliglucerase alfa) Approved by Cigna in Washington? Complete Timeline Guide

Answer Box: Getting Elelyso Approved by Cigna in Washington Cigna typically decides on Elelyso (taliglucerase alfa) prior authorization requests within 1-3 business days when submitted electronically with complete documentation. Washington state requires insurers to respond within 3 calendar days for standard requests. Your fastest path: (1) Ensure your specialist has

How to Get Tracleer (bosentan) Covered by Cigna in Michigan: Complete Prior Authorization Guide

Answer Box: Getting Tracleer (bosentan) Covered by Cigna in Michigan Cigna requires prior authorization for Tracleer (bosentan) with specific medical criteria: confirmed WHO Group 1 PAH via right heart catheterization, prescriber specialty (cardiology/pulmonology), REMS program enrollment, and step therapy (generic bosentan first). Your fastest path to approval: 1) Ensure

How to Get Signifor / Signifor LAR (pasireotide) Approved by Cigna in Washington: Complete Timeline and Appeals Guide

Quick Answer: Getting Signifor Approved by Cigna in Washington Cigna requires prior authorization for Signifor/Signifor LAR (pasireotide) with 72-hour standard review times in Washington. Your endocrinologist must submit clinical documentation proving medical necessity, including biochemical evidence (elevated UFC for Cushing's or IGF-1 for acromegaly) and justification why

How to Get Palynziq (pegvaliase-pqpz) Covered by Cigna in North Carolina: Complete Appeals Guide with Forms and Timelines

Answer Box: Getting Palynziq Covered by Cigna in North Carolina Eligibility: Adults with PKU and blood phenylalanine >600 µmol/L despite standard therapy qualify for Palynziq coverage through Cigna's prior authorization process. Fastest path: Have your PKU specialist submit PA documentation including REMS enrollment, baseline labs, and

How to Get Tracleer (Bosentan) Covered by Cigna in Virginia: Prior Authorization Forms, Appeals, and REMS Requirements

Quick Answer: Getting Tracleer Covered by Cigna in Virginia Eligibility: Tracleer (bosentan) requires both Cigna prior authorization AND FDA REMS enrollment for pulmonary arterial hypertension (WHO Group 1). Fastest path: Have your cardiologist or pulmonologist submit PA documentation with right heart catheterization results while simultaneously enrolling in the Bosentan REMS

How Long Does It Take to Get Nucala (Mepolizumab) Approved by Cigna in California? Complete Timeline & Appeals Guide

Quick Answer: Nucala (Mepolizumab) Approval Timeline with Cigna in California Standard timeline: 2-15 business days from complete submission. Cigna/Express Scripts typically responds within 2 business days for routine requests, up to 15 business days maximum under California law. Expedited reviews: 72 hours for urgent cases. Fastest path to approval: