Topic

Cigna

A collection of 1139 issues

Work With Your Doctor to Get Exondys 51 (Eteplirsen) Covered by Cigna in Washington: Complete Guide

Answer Box: Getting Exondys 51 Covered by Cigna in Washington What you need: Genetic testing confirming DMD with exon 51-amenable mutation, neurologist prescription, functional assessments (6-minute walk test), and cardiac/pulmonary baseline testing. Fastest path: 1) Schedule visit with neuromuscular specialist, 2) Gather genetic reports and functional testing, 3) Submit

How to Get Helixate Covered by Cigna in North Carolina: Prior Authorization Forms, Appeals, and State Resources

Answer Box: Getting Helixate Covered by Cigna in North Carolina Helixate requires prior authorization from Cigna and is typically non-formulary, requiring step therapy documentation. Start immediately with your hematologist to complete the Cigna Hemophilia Factor VIII Prior Authorization Form via CoverMyMeds or fax. If denied, you have 180 days for

How to Get Breyanzi (Lisocabtagene Maraleucel) Covered by Cigna in North Carolina: Complete PA Guide and Appeals Process

Quick Answer: Getting Breyanzi Covered by Cigna in North Carolina Breyanzi (lisocabtagene maraleucel) requires prior authorization from Cigna and must be administered at a FACT-accredited facility. The fastest path: 1) Confirm your treatment center has FACT accreditation for immune effector cell therapy, 2) Submit PA through CoverMyMeds or Accredo with

How to Get StrataGraft Approved by Cigna in Illinois: Complete Prior Authorization & Appeals Guide

Answer Box: Getting StrataGraft Covered by Cigna in Illinois StrataGraft requires prior authorization from Cigna in Illinois and is covered under the medical benefit using HCPCS code J7353. The fastest path to approval: (1) Confirm deep partial-thickness thermal burn diagnosis with proper ICD-10 coding, (2) Submit PA request via Cigna

How to Get Vimizim (Elosulfase Alfa) Covered by Cigna in Washington: Complete Prior Authorization and Appeals Guide

Quick Answer: Getting Vimizim Covered by Cigna in Washington To get Vimizim (elosulfase alfa) covered by Cigna in Washington, you'll need prior authorization with specific documentation: confirmed MPS IVA diagnosis (enzyme or genetic testing), prescription from a geneticist or metabolic specialist, baseline 6-minute walk test, and age ≥5

Get Crysvita (Burosumab) Covered by Cigna in Virginia: Complete Guide to Prior Authorization, Appeals, and State External Review

Answer Box: Getting Crysvita (Burosumab) Covered by Cigna in Virginia Cigna requires prior authorization for Crysvita (burosumab) with genetic confirmation of X-linked hypophosphatemia (XLH), clinical documentation, and serum phosphorus monitoring. The fastest path to approval involves three steps: (1) Complete genetic testing for XLH through the free Kyowa Kirin/Invitae

How to Get Therakos CELLEX Photopheresis Covered by Cigna in Illinois: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Therakos CELLEX Covered by Cigna in Illinois Yes, Cigna covers Therakos CELLEX photopheresis for FDA-approved indications like cutaneous T-cell lymphoma (CTCL) and steroid-refractory graft-versus-host disease (GVHD), but prior authorization is mandatory. The fastest path: have your specialist submit a PA request with medical necessity documentation showing failed

How to Get Therakos CELLEX Photopheresis Covered by Cigna in Texas: Complete Timeline and Appeal Guide

Quick Answer: Getting Therakos CELLEX Covered by Cigna in Texas Cigna requires prior authorization for Therakos CELLEX photopheresis in Texas, with decisions typically made within 5-10 business days for standard cases. To get approved, you'll need: (1) confirmed diagnosis of CTCL or steroid-refractory GVHD, (2) documentation of failed

Get HyperHEP Covered by Cigna in Michigan: Appeals Guide and Medical Necessity Templates

Answer Box: Getting HyperHEP Covered by Cigna in Michigan HyperHEP (hepatitis B immune globulin) requires prior authorization from Cigna for post-exposure prophylaxis. To get covered: (1) Your doctor submits a formulary exception request with exposure documentation and CDC guideline references within 24-48 hours of exposure, (2) If denied, file an

How Long Does It Take to Get Elaprase (Idursulfase) Approved by Cigna in New Jersey? Complete Timeline & Appeals Guide

Answer Box: Cigna typically approves Elaprase (idursulfase) for Hunter syndrome within 5 business days for standard prior authorization, or 24-72 hours for urgent requests in New Jersey. Submit complete documentation including enzymatic/genetic testing, weight-based dosing, and infusion monitoring plan through Cigna's provider portal. If denied, you have