All PlansPrior AuthHigh impact
Oncology drug dose rounding program begins January 1, 2025
Cigna·Oncology, Hematology·Pharmacy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Cigna Healthcare launched an oncology drug dose rounding program on January 1, 2025, where specific injectable oncology drugs will be rounded down to the nearest vial size when the difference is within 5-10% to reduce waste. EviCore manages all prior authorizations for these drugs and the prior authorization website will show changes when prescribing affected medications.
Action Required
Immediately: Providers and billing staff must review the EviCore prior authorization website for changes when prescribing any of the 32 affected oncology drugs. Update billing procedures to account for dose rounding down to nearest vial size when difference is 5-10%. Ensure proper documentation of therapeutic equivalency for rounded doses to avoid claim denials.