Mail your completed form to the appropriate Cigna address, clearly indicating “Prior Authorization Request – Viagra” on the envelope. Faxing is also an option; find the relevant fax number on your member materials or Cigna’s website.
Ensure all sections are filled accurately. Missing information delays processing.
- Double-check patient demographics: Name, date of birth, member ID. Verify prescribing physician details: Name, contact information, NPI number. Confirm the requested medication: Viagra (Sildenafil), dosage, quantity. Clearly state the medical necessity for Viagra, using the appropriate clinical justification section.
For quicker processing, use a clear and legible format. Consider using electronic submission if Cigna supports it.
Electronic submission often provides faster confirmation. Check the Cigna website for their preferred electronic submission method. Follow any specific instructions provided for online submissions.
After submission, track your request using the provided tracking number or by contacting Cigna directly. Expect a response within the timeframe outlined in your plan’s materials.
If you encounter issues or have questions, contact Cigna’s customer service department for assistance. They can provide clarification and guidance.
