Specialty Medical Injectables with Reimbursement Restriction: List updates
AI Summary
Cigna Healthcare has added Loargys® (pegzeilarginase-nbln) to their Specialty Medical Injectables with Reimbursement Restriction list effective March 30, 2026. This drug must now be dispensed by a Cigna-contracted specialty pharmacy and claims must be submitted through that pharmacy unless otherwise authorized.
Action Required
Immediately: Billing team must verify that Loargys® (pegzeilarginase-nbln) is dispensed through a Cigna-contracted specialty pharmacy before submitting claims. Update provider notifications to inform clinicians that this drug requires specialty pharmacy dispensing. Review the updated Specialty Medical Injectables with Reimbursement Restriction list on CignaforHCP.com regularly as it changes frequently. Claims submitted for this drug from non-contracted pharmacies will be denied unless prior authorization is obtained.
Plan Types
Commercial
Specialties
oncology, hematology, endocrinology