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CignaAll Plans · Prior Auth · Pharmacy · Oncology, HematologyHigh impact

Oncology drug dose rounding program: July 7 drug list update

Act
by Jul 7, 2025
Effective date
Jul 7, 2025
Identified
Jun 18, 2026

Summary

Cigna Healthcare is adding 9 new oncology drugs to their dose rounding program effective July 7, 2025. The program rounds drug doses down to the nearest vial size when within 5-10% of prescribed dose, and all prior authorizations are managed through EviCore.

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What to do

by Jul 7, 2025 · 2 steps
01Billing team must update prior authorization workflows for the 9 newly added oncology drugs (J9317, J9063, J9227, J9204, J9023, C9302, C9303, J9380, J3055) to route through EviCore system.
02Review EviCore prior authorization website changes and reference the quick reference guide for dose rounding calculations when billing these injectable oncology drugs.

Codes mentioned

J9317J9063J9227J9204J9023C9302C9303J9380J3055J9034J9035J9041J9042J9043J9047J9055J9145J9179J9228J9264J9299J9303J9305J9308J9309J9312J9354J9355J9358Q2050Q5107Q5112Q5113Q5114Q5115Q5116Q5117Q5118Q5119Q5123

Original notice

Oncology drug dose rounding program: July 7 drug list update
providernewsroom.com · Always check the source before changing claims.
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Related changes

See all Cigna changes →
Oncology drug dose rounding program begins January 1, 2025HighEffective Jan 1, 2025 · PharmacyBrowse every Cigna change in the policy list

Related policy hubs

Cigna policiesOncologyHematologyCode J9317Code J9063Code J9227Code J9204Code J9023Code C9302Code C9303Code J9380Code J3055Code J9034Code J9035Code J9041Code J9042Code J9043Code J9047Code J9055Code J9145Code J9179Code J9228Code J9264Code J9299Code J9303Code J9305Code J9308Code J9309Code J9312Code J9354Code J9355Code J9358Code Q2050Code Q5107Code Q5112Code Q5113Code Q5114Code Q5115Code Q5116Code Q5117Code Q5118Code Q5119Code Q5123

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