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Cigna Medical Policy Updates – December 2022
Click here to view the Cigna Medical Policy Updates »
December 2022 Cigna Medical Policy Policy Updates:
- Abatacept Intravenous
- Abatacept Subcutaneous
- Abdomen Imaging Guidelines
- Acyclovir 5% Ointment for Individual and Family Plans
- Aducanumab
- Albendazole for Individual and Family Plans
- Amifampridine
- Aminocaproic Acid for Individual and Family Plans
- Anesthesia and Facility Services for Dental Treatment
- Angiotensin Receptor Blockers
- Antiparkinson Agents
- Apomorphine (Kynmobi)
- Apremilast
- Attention Deficit Hyperactivity Disorder (ADHD) Stimulants
- Autism Spectrum Disorders/Pervasive Developmental Disorders: Assessment and Treatment
- Becaplermin
- Bedaquiline
- Beta Blockers
- Betaine for Individual and Family Plans
- Biventricular Pacing/Cardiac Resynchronization Therapy (CRT )
- Bone Mineral Density Measurement
- Breast Imaging Guidelines
- Breast Imaging Guidelines
- Brodalumab
- Cardiac Imaging Guidelines
- Cenegermin Ophthalmic Solution
- Chest Imaging Guidelines
- Chiropractic Care
- Chiropractic Care (CPG 278)
- Cholic Acid
- Cinacalcet for Individual and Family Plans
- Ciprofloxacin/fluocinolone for Individual and Family Plans
- Clinical Information to Establish Medical Necessity
- Clomiphene
- Collagenase for Individual and Family Plans
- Computerized Dynamic Posturography (CDP)
- COVID-19 Drug and Biologic Therapeutics
- COVID-19 Vaccine
- Cyclosporine Ophthalmic Products
- Cysteamine Bitartrate for Individual and Family Plans
- Dabigatran
- Deutetrabenazine
- Donepezil
- Drugs/Biologics Not Covered Unless Approved Under Medical Necessity Review Employer Group Plans: Standard, Performance, or Legacy Prescription Drug List
- Drugs/Biologics Not Covered Unless Approved Under Medical Necessity Review Employer Group Plans: Value, Advantage, or Cigna Total Savings Prescription Drug List
- Elivaldogene autotemcel
- Epoetin Alfa Products
- Eptinezumab
- Erenumab
- Exhaled Nitric Oxide in the Management of Respiratory Disorders
- Fecal Bacteriotherapy
- Fingolimod
- Fostemsavir
- Fremanezumab
- Galcanezumab
- Ganaxolone
- Gender Dysphoria Treatment
- Genetic Testing for Hereditary and Multifactorial Conditions
- Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis
- Glatiramer
- Gonadotropin-Releasing Hormone (GnRH) Antagonists for Infertility Use
- Guselkumab
- Head Imaging Guidelines
- Immunomodulators – Oral and Subcutaneous (Individual and Family Plans)
- Intestinal and Multivisceral Transplantation
- Intraarticular Hyaluronic Acid Derivatives
- Isavuconazonium (Oral)
- Itraconazole (Tolsura®)
- Ixekizumab
- Laboratory Testing for Transplantation Rejection
- L-glutamine Oral Powder for Individual and Family Plans
- Lonapegsomatropin
- Medication Administration Site of Care
- Metyrosine
- Mifepristone (Korlym®)
- Musculoskeletal Imaging Guidelines
- Mycapssa
- Neck Imaging Guidelines
- Nintedanib
- Nitazoxanide for Individual and Family Plans
- Occupational Therapy (CPG 155)
- Octreotide IR (Non-Oncology Indications)
- Omalizumab
- Oncology Imaging Amendment to Cigna-eviCore General Oncology Imaging Guideline
- Oncology Imaging Guidelines
- Oncology Imaging Guidelines
- Oncology Medications Policy
- Opioid Therapy
- Oral Cancer Screening Systems
- Osilodrostat
- Oteseconazole
- Oxandrolone
- Oxybate
- Pacemakers (CID) Guidelines
- Pediatric Abdomen Imaging Guidelines
- Pediatric Abdomen Imaging Guidelines
- Pediatric Cardiac Imaging Guidelines
- Pediatric Chest Imaging Guidelines
- Pediatric Head Imaging Guidelines
- Pediatric Intensive Feeding Programs
- Pediatric Musculoskeletal Imaging Guidelines
- Pediatric Neck Imaging Guidelines
- Pediatric Oncology and Special Populations Oncology Imaging Guidelines
- Pediatric Oncology Imaging Guidelines
- Pediatric Pelvis Imaging Guidelines
- Pediatric Peripheral Nerve Disorders (PND) Imaging Guidelines
- Pediatric Peripheral Vascular Disease (PVD) Guidelines
- Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines
- Pediatric Spine Imaging Guidelines
- Pegfilgrastim
- Pelvis Imaging Amendment to Cigna-eviCore General Pelvis Imaging Guideline
- Pelvis Imaging Guidelines
- Penicillamine
- Percutaneous Vertebroplasty, Kyphoplasty, and Sacroplasty
- Peripheral Nerve Disorders Imaging Guidelines
- Peripheral Vascular Disease (PVD) Imaging Guidelines
- Pharmacy Prior Authorization
- Physical Therapy (CPG 135)
- Preface to the Imaging Guidelines
- Preventive Care Services
- Pulmonary Hypertension (PH) Therapy
- Pulmonary Hypertension (PH) Therapy
- Quantity Limitations
- Quazepam for Individual and Family Plans
- Ranolazine
- Rhinoplasty, Vestibular Stenosis Repair and Septoplasty
- Rifaximin for Individual and Family Plans
- Risankizumab Intravenous
- Risankizumab Subcutaneous
- Romosozumab
- Sandostatin LAR Depot (Non-Oncology Indications)
- Sapropterin
- Secukinumab
- Sirolimus
- Skeletal Muscle Relaxants
- Sleep Disordered Breathing Diagnosis & Treatment
- Sodium thiosulfate
- Somatropin
- Spesolimab
- Spine Imaging Guidelines
- Stem Cell Transplantation: Non-cancer Disorders
- Step Therapy – Legacy Prescription Drug Lists (Employer Group Plans)
- Step Therapy – Standard and Performance Prescription Drug Lists (Employer Group Plans)
- Step Therapy – Value and Advantage Prescription Drug Lists (Employer Group Plans)
- Step Therapy Individual and Family Plan
- Tapinarof
- Tascenso ODT
- Temporomandibular Joint (TMJ) Disorder Surgery
- Tetrabenazine
- Tezepelumab
- Thalidomide Non-Oncology Uses
- Tildrakizumab
- Tobramycin/loteprednol etabonate (Zylet) Ophthalmic Suspension for Individual and Family Plans
- Tolvaptan for Individual and Family Plans
- Topical Alpha Adrenergic Agonists
- Topical Corticosteroids
- Topical Estrogen Products (Non-Patch)
- Transcatheter Heart Valve Procedures
- Transdermal Estrogen and Estrogen-Progestin Patches
- Treatment of Gender Dysphoria
- Trientine Hydrochloride
- Ustekinumab Intravenous
- Ustekinumab Subcutaneous
- Vaginal Estrogen Products and Ospemifine
- Vagus Nerve Stimulation (VNS)
- Valbenazine
- Vedolizumab
- Ventricular Assist Devices (VADs), Percutaneous Cardiac Support Systems and Total Artificial Heart
- Voriconazole (Oral)
Click here to view the Cigna Medical Policy Updates »
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