Cigna Medical Policy Updates – September 2022

Click here to view the Cigna Medical Policy Updates »

September 2022 Cigna Medical Policy Policy Updates:

• Ambulance Services
• Angioplasty (Extracranial, Intracranial) and Intracranial Aneurysm Repair
• Antiemetic Therapy
• Antimalarial Therapy
• Atogepant
• Authorized Generics
• Avatrombopag
• Baricitinib
• Bempedoic Acid
• Bempedoic Acid/Ezetimibe
• Benign Prostatic Hyperplasia (BPH) Treatments
• Bimatoprost Ophthalmic Implant
• Bleomycin Sulfate
• Brands with Bioequivalent Generics
• Brexanolone
• Carglumic Acid
• Cervical Cancer Screening Visualization Technologies
• Chiropractic Care
• Clonidine ER
• COVID-19 Drug and Biologic Therapeutics
• COVID-19 Vaccine
• Cyanocobalamin Nasal Spray
• Difelikefalin
• Dimercaprol and Edetate Calcium Disodium
• Distraction Osteogenesis (DO) for Craniofacial Deformities
• Drug and Biologic Medical Necessity (NonInjectables) – medical benefits
• 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
• Elagolix
• Electrical Stimulation Therapy and Home Devices
• Electrodiagnostic Testing (EMG/NCV)
• Electrodiagnostic Testing (EMG/NCV)
• Eltrombopag
• Emicizumab-kxwh
• Esketamine
• Eteplirsen
• Fosdenopterin
• Fostamatinib
• Genetic Testing for Hereditary and Multifactorial Conditions
• Glycerol Phenylbutyrate
• Heart, Lung, and Heart-Lung Transplantation
• Hip Replacement/Arthroplasty
• Hip Surgery-Arthroscopic and Open Procedures
• HIV Products for Individual and Family Plans
• Home Ventilators
• Immunomodulators – Oral and Subcutaneous (Cigna Total Savings Drug List)
• Immunomodulators – Oral and Subcutaneous (Individual and Family Plans)
• Immunomodulators – Oral and Subcutaneous (Standard/Performance, Value/Advantage, Legacy Drug List Plans)
• Inclisiran
• Insulin Glargine
• Interferon Gamma-1b for Non-Oncology Uses
• Intraocular Lens Implant
• Intraoperative Monitoring
• Knee Replacement/Arthroplasty
• Leuprolide – Long Acting
• Lomitapide
• Metatarsophalangeal Joint Replacement
• Miltefosine
• Mitapivat
• Nutritional Support
• Occupational Therapy
• Occupational Therapy
• Occupational Therapy
• Oncology Medications
• Oral Antihistamines
• Oral Cancer Screening Systems
• Parathyroid Hormone
• Pegcetacoplan
• Physical Therapy
• Physical Therapy
• Physical Therapy
• Plerixafor
• Prenatal Vitamins
• Pressure Reducing Surfaces
• Proton Pump Inhibitors
• Purified Cortrophin Gel
• Radiation Oncology Guidelines
• Reduction Mammoplasty
• Repository Corticotropin
• Rilonacept
• Risankizumab Intravenous
• Risankizumab Subcutaneous
• Risdiplam
• Shoulder Arthroplasty/Replacement/Resurfacing/Revision/Arthrodesis
• Spinal Ultrasound
• Spinal Ultrasound
• 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)
• Tenapanor
• Teprotumumab
• Tesamorelin
• Tildrakizumab
• Tocilizumab Intravenous
• Tocilizumab Subcutaneous
• Transcranial Magnetic Stimulation
• Vutrisiran
• Weight Loss Medications

Click here to view the Cigna Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

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Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.