Cigna Healthcare

U.S. private payer with published psychiatry coverage-position criteria and prior-authorization form requirements specific to Spravato.

Reimbursement & Market Access Snapshot

Insurance Payers & Reimbursement Specialists

Service Model

Private / Commercial Payer

Jurisdiction

National

Coverage

1 country

Last Verified

Apr 11, 2026

Focus Areas

Coverage Policy DesignFormulary & Access CriteriaPayment Coding Pathways

Evidence Requirements

Clinical Efficacy EndpointsComparative EffectivenessLong-Term Safety

Market Access Notes

Cigna publishes both coverage-position criteria and payer submission forms for Spravato prior authorization.

Verification

Verified

Psychedelic Focus

Psychedelic-Adjacent Focus

Engagement Status

Active

Linked Stakeholders

Source Evidence

Cigna Coverage Position Criteria: Spravato (Psychiatry)

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/cnf/cnf_606_coveragepositioncriteria_psychiatry_spravato_pa.pdf

Cigna Prior Authorization Form: Spravato

https://static.cigna.com/assets/chcp/pdf/resourceLibrary/prescription/Spravato.pdf