Cigna · Prior auth
Cigna prior authorization criteria
Submission criteria, documentation packets, and P2P prep by drug — for prescribers and PA staff. 30-day standard PA decision.
Standard PA decision
30 days
Appeal window if denied
180 days
Drugs covered
62
Cigna reviews prior-authorization requests against its published medical policies — diagnosis with ICD-10 code, documented step-therapy history, and prescriber attestation of medical necessity. Standard PA decisions return in 30 days; if denied, prescribers and members have 180 days to appeal. Criteria by drug below.
Prior authorization criteria by drug
Each page covers Cigna's submission criteria, the documentation packet, and peer-to-peer prep for that drug.
- Adalimumab at Cigna →
- Aflibercept at Cigna →
- Apixaban at Cigna →
- Atezolizumab at Cigna →
- Atogepant at Cigna →
- Benralizumab at Cigna →
- Bevacizumab at Cigna →
- Bictegravir at Cigna →
- Buprenorphine at Cigna →
- Dapagliflozin at Cigna →
- Dulaglutide at Cigna →
- Dupilumab at Cigna →
- Eculizumab at Cigna →
- Elexacaftor Tezacaftor Ivacaftor at Cigna →
- Empagliflozin at Cigna →
- Erenumab at Cigna →
- Evolocumab at Cigna →
- Faricimab at Cigna →
- Fingolimod at Cigna →
- Fremanezumab at Cigna →
- Galcanezumab at Cigna →
- Glecaprevir Pibrentasvir at Cigna →
- Guselkumab at Cigna →
- Ibrutinib at Cigna →
- Imatinib at Cigna →
- Inclisiran at Cigna →
- Infliximab at Cigna →
- Ixekizumab at Cigna →
- Lenalidomide at Cigna →
- Liraglutide at Cigna →
- Lisdexamfetamine at Cigna →
- Mepolizumab at Cigna →
- Methylphenidate at Cigna →
- Naltrexone at Cigna →
- Natalizumab at Cigna →
- Nintedanib at Cigna →
- Nivolumab at Cigna →
- Nusinersen at Cigna →
- Ocrelizumab at Cigna →
- Ofatumumab at Cigna →
- Omalizumab at Cigna →
- Ozanimod at Cigna →
- Palbociclib at Cigna →
- Pembrolizumab at Cigna →
- Pirfenidone at Cigna →
- Ribociclib at Cigna →
- Rimegepant at Cigna →
- Risankizumab at Cigna →
- Rituximab at Cigna →
- Rivaroxaban at Cigna →
- Sacubitril Valsartan at Cigna →
- Secukinumab at Cigna →
- Semaglutide at Cigna →
- Sofosbuvir at Cigna →
- Tafamidis at Cigna →
- Tenofovir Alafenamide at Cigna →
- Tezepelumab at Cigna →
- Tirzepatide at Cigna →
- Tofacitinib at Cigna →
- Trastuzumab at Cigna →
- Upadacitinib at Cigna →
- Ustekinumab at Cigna →
Generate a Cigna PA packet
Open ApprovalHelp — generate a prior-auth packet tailored to Cigna's criteria, with prescriber attestation and step-therapy documentation pre-filled.
Get started →Contact: hello@approvalhelp.com