Cigna Medical & Pharmacy Policy Updates – September 2018

Click here to view the Cigna Medical & Pharmacy Policy Updates »

September 2018 Cigna Medical & Pharmacy Policy Policy Updates:

• Airway Clearance Devices in the Ambulatory Setting
• Antiemetic Therapy
• Antifungals, Topical
• Antivirals, Topical
• Biventricular Pacing/Cardiac Resynchronization Therapy (CRT  )
• Bone Mineral Density Measurement
• Cervical Cancer Screening Visualization Technologies
• Chimeric Antigen Receptor  T-Cell (CAR-T) and Advanced Cellular / Immune Effector Cell Therapy
• Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) Modulators
• Diabetic Supplies
• Distraction Osteogenesis (DO) for Craniofacial Deformities
• Dose Optimization
• Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review
• Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review
• Electric Stimulation for Pain, Swelling and Function in a Clinic Setting
• Electrical Stimulation Therapy and Devices
• Fecal Bacteriotherapy
• Genetic Testing for Hereditary and Multifactorial Conditions
• Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis
• Glycopyrrolate Inhalation Solution
• Hallux Valgus Surgery (Bunionectomy)
• Hammer Toe Surgery
• Heart, Lung, and Heart-Lung Transplantation
• HIV/AIDS
• HMG-CoA Reductase Inhibitors (Statins)
• Implantable Intrathecal Drug Delivery System
• Intraocular Lens Implant
• Knee Surgery: Arthroscopic and Open Procedures
• Metatarsophalangeal Joint Replacement
• Multiple Sclerosis Therapy
• Nusinersen
• Nutritional Support
• Omnibus Codes
• Oncology Medications
• Pegloticase
• Percutaneous Vertebroplasty, Kyphoplasty, and Sacroplasty
• Pharmacy Prior Authorization
• Prosthetic Devices: Lower Limb (Including Vacuum-Assisted Socket System and Prostheses)
• Quantity Limitations
• Sacubitril/valsartan
• Screening Mammography
• Shoulder Surgery – Arthroscopic and Open Procedures
• Step Therapy
• Step Therapy – Legacy Prescription Drug Lists
• Step Therapy – Standard Prescription Drug Lists
• Step Therapy – Value Prescription Drug Lists
• Stretch Devices for Joint Stiffness and Contractures
• Surgical Treatments for Lymphedema and Lipedema
• Tissue-Engineered Skin Substitutes
• Topical Doxepin
• Triamcinolone acetonide extended-release injection
• Unassigned Drug or Biologic Code Medical Precertification
• Vagus Nerve Stimulation (VNS)
• Viscosupplementation for Osteoarthritis
• Visual Perceptual Training

Click here to view the Cigna Medical & Pharmacy Policy Updates »

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