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Intraarticular Hyaluronic Acid Derivatives - Cigna

    https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ip_0322_coveragepositioncriteria_intraarticular_hyaluronic_acid.pdf
    The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of ... This policy supports medical necessity review for the following Intraarticular Hyaluronic Acid products: ... Synvisc or …

Access Coverage Policies | Cigna

    https://www.cigna.com/health-care-providers/coverage-and-claims/policies/
    How to access Cigna coverage policies. The most up to date and comprehensive information about our standard coverage policies are available on CignaforHCP , …

Step Therapy Drug Class Preferred* Medications …

    https://www.cigna.com/static/www-cigna-com/docs/medicare/plans-services/2021/step-therapy-part-b.pdf
    Some medically administered Part B drugs may have additional coverage requirements, which can include step therapy. ... Cigna HealthCare of North Carolina, Inc., Cigna …

PHYSICIAN INFORMATION PATIENT …

    https://static.cigna.com/assets/chcp/pdf/resourceLibrary/prescription/HyaluronicAcidDrugs.pdf
    Gelsyn -3, GenVisc 850, Hyalgan, Hymovis, Monovisc, Orthovisc, Supartz FX, Synojoynt, Synvisc, Synvisc- One, Triluron, Trivisc, ... (Please note: there are different prefe rred …

Drug and Biologic Medical Necessity (Injectables)

    https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ph_2027_coveragepositioncriteria_drug_and_biologic_medical_necessity_injectables_medical_benefits.pdf
    The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization …

Cigna Healthcare Coverage Policies | Cigna

    https://www.cigna.com/legal/members/member-rights-and-responsibilities/cigna-health-care-policies
    The time a mother and baby spend in the hospital after delivery is a medical decision. Consistent with federal law effective 1/1/98, the Cigna national maternity policy includes …



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