Cigna: Syfovre Payer Policy

Created by C. Denise Burrell, Modified on Wed, 8 Jan at 3:46 PM by C. Denise Burrell

Cigna: Syfovre Payer Policy (Beta Access)


  • HCPCS code(s): J2781
  • Precertification required?: Not Specified - (Click here for full policy)
  • Step therapy required: Not Specified 
  • Provider fax form: Syfovre Fax Form (✅ Available in SamaCare
  • FDA-Approved Indications:
  • Recommended Dose:
  • Other Pertinent Information:

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