Get the free CIGNA HEALTHCARE NON-FORMULARY EXCEPTION ...

Fax completed form to: (855) 8401678 If this is an URGENT request, please call (800) 8824462 (800.88.CIGNA)Camcevi ( mesylate) ( acetate)PHYSICIAN INFORMATIONPATIENT INFORMATION* Physician Name: Specialty:*

How to fill out cigna healthcare non-formulary exception

How to fill out cigna healthcare non-formulary exception

1. Obtain the Cigna Healthcare Non-Formulary Exception Form from the Cigna website or your healthcare provider.
2. Fill out the patient information section, including name, date of birth, and insurance policy number.
3. Provide details about the medication requested, including name, dosage, and prescribing doctor information.
4. Explain the reason for the exception request in the designated section, indicating why the non-formulary drug is necessary.
5. Attach any supporting documents, such as medical records or letters from healthcare providers justifying the need for the non-formulary medication.
6. Review the form for accuracy and completeness before submission.
7. Submit the completed form via fax, mail, or online portal as per the instructions provided by Cigna.

Who needs cigna healthcare non-formulary exception?

1. Patients who require a medication that is not listed on the Cigna formulary and require approval for coverage.
2. Individuals whose healthcare providers deem a non-formulary drug more appropriate for their treatment.
3. Patients who have tried formulary alternatives without success and need to demonstrate the medical necessity for the non-formulary medication.

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What is cigna healthcare non-formulary exception?

Cigna healthcare non-formulary exception is a process that allows patients to request coverage for a medication that is not on Cigna's approved list of drugs, known as the formulary.

Who is required to file cigna healthcare non-formulary exception?

Typically, healthcare providers or patients are required to file the Cigna healthcare non-formulary exception request.

How to fill out cigna healthcare non-formulary exception?

To fill out the Cigna healthcare non-formulary exception, one must complete the designated form available on Cigna's website or through their healthcare provider, providing necessary details about the medication and the medical necessity.

What is the purpose of cigna healthcare non-formulary exception?

The purpose of the Cigna healthcare non-formulary exception is to provide patients with access to medications that are not typically covered under their health plan due to specific medical needs.

What information must be reported on cigna healthcare non-formulary exception?

Information required on the Cigna healthcare non-formulary exception includes patient information, medication details, medical history, and reasons for the exception request.