Work With Your Doctor to Get Thiola / Thiola EC (Tiopronin) Covered by Cigna in Michigan: Complete Provider Partnership Guide
Answer Box: Your Path to Thiola Coverage in Michigan
Cigna requires prior authorization for Thiola/Thiola EC (tiopronin) through Express Scripts, with step therapy requiring generic tiopronin trial first. Your urologist or nephrologist must document cystinuria diagnosis (24-hour urine cystine >400 mg/day), conservative therapy failure, and patient weight