Contact your Cigna representative or check your member portal for the most up-to-date requirements. This is the best way to ensure you have the correct information.
Generally, Cigna requires prior authorization for Viagra and similar medications. The process typically involves your doctor submitting a pre-authorization request through Cigna’s provider portal. This request includes specific medical information supporting the need for Viagra, such as your medical history and current condition.
Required Information for Prior Authorization
Your doctor will need to provide detailed information, including but not limited to:
| Diagnosis | Precise diagnosis code (ICD code) indicating the medical necessity for Viagra. |
| Treatment Plan | A clear outline of the proposed treatment plan including dosage and duration of Viagra use. |
| Alternative Treatments | Documentation of attempts at alternative treatments, if any, and why they were unsuccessful. |
| Patient History | Relevant medical history impacting the decision to prescribe Viagra. |
Processing Times and Next Steps
Cigna aims to process prior authorization requests within a reasonable timeframe, which varies depending on the complexity of the case. Check the Cigna website or your member materials for estimated processing times. After submitting the request, monitor its status using Cigna’s online tools. If the request is denied, discuss the next steps with your doctor, exploring appeals options available through Cigna’s processes.
Contacting Cigna
For assistance, contact Cigna customer service directly via phone or their website. They can provide the most accurate and current information regarding prior authorization for your specific circumstances.
