Drug Prior Authorization Request FormsCigna Medicare 2025

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If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request.
Prior authorization must get from your plan, before your plan will cover certain drugs. Your prescriber may need to show that the drug is medically necessary for the plan to cover it. Plans may also use prior authorization when they only cover a drug for certain medical conditions, but not others.
Your doctors office is responsible for obtaining prior authorization. They will submit a request to your insurance provider to get approval, whether its for a service or for a medication. Usually, your physician will have a good idea of whether they need to get prior authorization.
Moving forward, please visit CoverMyMeds at .covermymeds.com/main/prior-authorization-forms/cigna/ or via SureScripts in your EHR to learn more and submit all new PA requests electronically. If you are unable to use electronic prior authorization, please call us at 1.800. 882.4462 (1.800. 88.
Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request. Deny your request.
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Moving forward, please visit CoverMyMeds at .covermymeds.com/main/prior-authorization-forms/cigna/ or via SureScripts in your EHR to learn more and submit all new PA requests electronically. If you are unable to use electronic prior authorization, please call us at 1.800. 882.4462 (1.800.
MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION You may also ask us for a coverage determination by phone at 1-866-235-5660, (TTY: 711), 24 hours a day, 7 days a week, or through our website at .silverscript.com. Who May Make a Request: Your prescriber may ask us for a coverage determination on your behalf.

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