Does Cigna require prior authorization for Kalydeco?
Prior authorization for Kalydeco differs across Cigna's Medicare Part D plans and product strengths — 1 of 6 Kalydeco products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.
Some plans require authorization and others do not. The member's specific plan decides.
By product strength
| RxNorm product | Plans covering | Require prior auth | Status |
|---|---|---|---|
| ivacaftor 150 MG Oral Tablet [Kalydeco]1243052 | 171 / 171 | 171 | Prior authorization required |
| ivacaftor 50 MG Oral Granules [Kalydeco]1606866 | 0 / 171 | 0 | Not on formulary |
| ivacaftor 75 MG Oral Granules [Kalydeco]1606870 | 0 / 171 | 0 | Not on formulary |
| ivacaftor 25 MG Oral Granules [Kalydeco]2166401 | 0 / 171 | 0 | Not on formulary |
| ivacaftor 13.4 MG Oral Granules [Kalydeco]2636789 | 0 / 171 | 0 | Not on formulary |
| ivacaftor 5.8 MG Oral Granules [Kalydeco]2636793 | 0 / 171 | 0 | Not on formulary |
Product names come from RxNorm (U.S. National Library of Medicine).
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Kalydeco at other payers
Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.