Topic

Cigna

A collection of 1135 issues

How to Get Filsuvez (Birch Triterpenes Gel) Covered by Cigna in New York: Complete Cost & Appeals Guide 2025

Answer Box: Getting Filsuvez Covered by Cigna in New York Filsuvez (birch triterpenes gel) requires prior authorization from Cigna and isn't on standard formularies. Three-step path: (1) Your doctor submits a PA with EB diagnosis confirmation and prior therapy documentation to Cigna at 1-800-882-4462, (2) If denied, file

How to Get Jaypirca (Pirtobrutinib) Covered by Cigna in Illinois: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Jaypirca Covered by Cigna in Illinois Cigna requires prior authorization for Jaypirca (pirtobrutinib) with strict documentation of prior BTK inhibitor failure. For CLL/SLL, you must also show BCL-2 inhibitor use. Submit through CoverMyMeds or call 1-800-882-4462. If denied, you have 180 days to appeal internally, then

Work With Your Doctor to Get Nourianz (Istradefylline) Approved by Cigna in Georgia: Complete Guide

Answer Box: Getting Nourianz Approved by Cigna in Georgia Eligibility: Adults with Parkinson's disease experiencing "OFF" episodes despite levodopa/carbidopa therapy. Fastest path: Work with your neurologist to submit prior authorization showing failed trials of amantadine plus either an MAO-B inhibitor (rasagiline) or COMT inhibitor (entacapone)

How to Get Helixate (Antihemophilic Factor VIII) Covered by Cigna in New York: Coding, Appeals, and State Resources

Answer Box: Getting Helixate Covered by Cigna in New York Important Update: Helixate FS and Kogenate FS are discontinued in the United States as of 2022-2023. Cigna no longer covers these products on their formulary. Your fastest path to coverage: Work with your hemophilia treatment center to transition to a

Myths vs. Facts: Getting Tagrisso (Osimertinib) Covered by Cigna in Georgia

Quick Answer: Tagrisso (Osimertinib) Coverage with Cigna in Georgia Fastest path to approval: Submit prior authorization with documented EGFR mutation test results and oncologist's medical necessity letter through Cigna's provider portal. If denied, file internal appeal within 180 days, then external review through Georgia Department of

How to Get Imbruvica (Ibrutinib) Covered by Cigna in New York: Prior Authorization Guide and Appeal Strategies

Quick Answer: Cigna requires prior authorization for Imbruvica (ibrutinib) in New York, typically placing it on Tier 4-5 with step therapy requirements for preferred BTK inhibitors first. Submit PA through Express Scripts/Accredo with complete diagnostic documentation. If denied, you have 180 days for internal appeals, then 4 months for

How to Get Jaypirca (Pirtobrutinib) Covered by Cigna in New Jersey: Complete Appeal Guide with Forms and Timelines

Quick Answer: Jaypirca (pirtobrutinib) requires prior authorization from Cigna with documented failure of at least one BTK inhibitor (plus BCL-2 inhibitor for CLL/SLL). Submit through CoverMyMeds or call 1-800-882-4462. If denied, you have 180 days for internal appeals and 4 months for New Jersey's external review through

Work With Your Doctor to Get Eloctate Covered by Cigna in Texas: Forms, Appeals, and Medical Necessity Letters

Quick Answer: Getting Eloctate Covered by Cigna in Texas Cigna requires prior authorization for Eloctate (efmoroctocog alfa) in Texas. Your hematologist must submit clinical documentation proving medical necessity for hemophilia A prophylaxis. If denied, you have 30 days to appeal internally and can request external review through Texas Department of

How to Get Gilenya (Fingolimod) Covered by Cigna in Georgia: Appeals, Forms, and State Protections

Answer Box: Getting Gilenya (Fingolimod) Covered by Cigna in Georgia Gilenya requires prior authorization from Cigna in Georgia. Your doctor must submit documentation including baseline EKG and eye exam results, plus proof of relapsing MS diagnosis. If denied, you have 180 days for internal appeals and 60 days for external

How to Get Pemazyre (Pemigatinib) Approved by Cigna in Florida: Timeline, Forms, and Appeal Strategy

Answer Box: Getting Pemazyre Covered by Cigna in Florida Cigna covers Pemazyre (pemigatinib) for cholangiocarcinoma with FGFR2 fusion/rearrangement after prior therapy, but requires prior authorization. Standard review takes 5 business days; urgent cases get 24-72 hour decisions. Required documentation: FGFR2 test results, baseline eye exam, prior therapy records, and