We make it easy to submit the correct PA request for your patients. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Cigna requires prior authorization (PA) for some medications in order to optimize patient outcomes and ensure cost-effective healthcare for our customers. If you use a pharmacy that does not participate in your plans network, your prescription may not be covered, or reimbursement may be limited by your plans copayment, coinsurance or deductible requirements. Once your order is confirmed, the average delivery time is 5-7 days. 0000011016 00000 n 0000009180 00000 n %PDF-1.5 % Generic medications are listed in all lowercase letters and brand-name medications are listed in all capital letters. that insure or administer group HMO, dental HMO, and other products or services in your state). 0000014929 00000 n Cigna Legacy (Standard) Prescription Drug List 3 Tier [PDF] 4 Tier (injectable specialty medications covered on tier 4) [PDF] 4 Tier (all specialty medications covered on tier 4) [PDF] Cigna Legacy (Performance) Prescription Drug List 3 Tier [PDF] 4 Tier (all specialty medications covered on tier 4) [PDF] Cigna Total Savings Prescription Drug List For more than 125 years, Cigna has been committed to building a trusted network of health care providers so we can connect your patients with . Use the Prescription Drug List Search Tool to view medications commonly covered by individual and family plans. 0000002183 00000 n And with so many retail pharmacies with preferred cost-shares, finding one is easy. Convenience Pharmacy - Suburban Pavilion. W hen this Provider Directory says "we," "us," or "our," it means Cigna or Cigna Medicare Advantage. Past 24 Hours Original review: Jan. 18, 2023. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call (TTY 711) or consult the online pharmacy directory at CignaMedicare.com. AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. Plan availability varies by state. Preferred network pharmacy savings do not apply to all plans. *) J BRb0`Z$i&%T!6A5E@%51Ay -`BxX3. 0000010418 00000 n 0000015568 00000 n 0000006072 00000 n About this drug list This is a list of the most commonly prescribed medications covered on the Cigna Performance 3-Tier Prescription Drug List as of January 1, 2023.3,4 Medications are listed by the condition they Express Scripts Pharmacy is the third largest pharmacy in the US and Cignas preferred for home delivery. 0000006043 00000 n The remaining 50 plans are operating in eight or fewer regions and account for 79 PDPs. 0000017978 00000 n 0000002020 00000 n <<73C9D5634DA1FE46B02C7CFACE156ED4>]/Prev 911692>> Using these options in our pharmacy network for your prescription drug needs can help save time and money. Health benefit plans vary, but in general to be eligible for coverage a drug must be approved by the Food and Drug Administration (FDA), prescribed by a health care professional, purchased from a licensed pharmacy and medically necessary. trailer <<19AC3A3D8F36409AB4F7625757678486>]/Prev 808798/XRefStm 1807>> startxref 0 %%EOF 10812 0 obj <>stream Cigna offers specialized plans that can help you if you have diabetes, asthma, or chronic obstructive pulmonary disease (COPD), while offering you more savings. To identify the 2023 Part D preferred cost sharing pharmacy networks, we used the 2023 Plan Finder Data (October 24, 2022) and the 2023 Landscape Source Files (v 10 14 22) for PDPs and MA plans. References to standard benefit plan language and coverage determinations do not apply to those clients. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. Cigna contracts with Medicare to offer Medicare Advantage HMO and PPO plans and Part D Prescription Drug Plans (PDP) in select states, and with select State Medicaid programs. The way to fill out the Pharmacy for Cagney form on the web: To start the document, utilize the Fill camp; Sign Online button or tick the preview image of the blank.. The drug list is updated often so it isn't a complete Focus on Concurrent Use of Benzodiazepines and Opioids [PDF], Network Insider Medicare Provider Newsletter, Provider Portal Claimstat Login Arizona Providers Only, 2023 Medicare Advantage Drug List Formulary Quick Reference Guide [PDF], 2022 Medicare Advantage Drug List Formulary Quick Reference Guide [PDF], Providers' Guide to Preventing Opioid Misuse [PDF], Making Opioid Use Safer for Older Adults: A Provider's Guide to Co-Prescribing Naloxone [PDF]. Use the Pharmacy (Drugs & Biologics) A-Z Index search box with a specific product name to locate additional coverage policies. Compare Plans. 0000002772 00000 n (7) Preexisting Conditions: We will not pay for any expenses incurred for care or treatment of a Preexisting Condition for the first six (6) months from the effective date of coverage. 0000008903 00000 n %%EOF 0000001905 00000 n 0000023897 00000 n Search for a pharmacy, identify a preferred network pharmacy, request printed directories, and more. Employer or School Healthcare.gov or Direct Purchase Medicare Feedback 0000022797 00000 n medication through Cigna Specialty Pharmacy Services for it to be covered. About this drug list. 0000039962 00000 n 825 0 obj <> endobj All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company, Tel-Drug, Inc., Tel-Drug of Pennsylvania, L.L.C., and HMO or service company subsidiaries of Cigna Health Corporation. 469 0 obj <>stream endstream endobj 826 0 obj <>/Metadata 35 0 R/Outlines 49 0 R/Pages 823 0 R/StructTreeRoot 50 0 R/Type/Catalog/ViewerPreferences<>>> endobj 827 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 4/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 828 0 obj <>stream Publix is a preferred pharmacy in select plans, so that means you can save even more on co-pays and annual prescriptions. 0000013862 00000 n 0000006931 00000 n You travel outside the plans service area and run out of or lose covered Part D drugs, or become ill and need a covered Part D drug and cannot get to a network pharmacy. Save on copays with a preferred retail pharmacy or home delivery through Express Scripts Pharmacy. *Preferred pharmacy with Extra plan only and standard pharmacy for other plans. ^ This Oral specialty medication may be covered differently than other specialty medications. preferred medications covered on the Cigna National Preferred 3-Tier Prescription Drug List as of January 1, 2023.1,2 Medications are listed by the condition they treat. Depending on your plan, you may be able to fill your prescription one time at any in-network retail pharmacy before you have to use Cigna Specialty Pharmacy Services. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All clinical products and services of the LivingWell Health Centers are either provided by or through clinicians contracted with HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. or employees leased by HS Clinical Services, PC, Bravo Advanced Care Center, PC (PA), Bravo Advanced Care Center, PC (MD) and not by Cigna Corporation. 0000001807 00000 n All insurance policies and group benefit plans contain exclusions and limitations. Enrollment in Cigna depends on contract renewal. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000001056 00000 n trailer Health maintenance organizations (HMOs): 2,337 local plans, Preferred provider organizations (PPOs): 1,572 local plans and 41 regional plans, Private fee-for-service (PFFS) plans: 29 plans. Learn more about the plan benefits designed to meet your unique needs: Plans are insured by Cigna Health and Life Insurance Company or its affiliates: For Arizona residents, health plans are offered by Cigna HealthCare of Arizona, Inc. For Georgia residents, health plans are offered by Cigna HealthCare of Georgia, Inc. For Illinois residents, health plans are offered by Cigna HealthCare of Illinois, Inc. For North Carolina residents, health plans are offered by Cigna HealthCare of North Carolina, Inc. For South Carolina residents, health plans are offered by Cigna HealthCare of South Carolina, Inc. For Texas residents, health plans are offered by Cigna HealthCare of Texas, Inc. 1 Refer to plan documents for a description of equipment, supplies, select tests and services that are covered through these plans. This may be because there is no network pharmacy within driving distance that offers 24-hour service. Cigna.com no longer supports the browser you are using. 0000000016 00000 n Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. network pharmacy or through our mail order pharmacy service. 0000044723 00000 n 0000005844 00000 n CM6/5B WwM7jTB*J7qI;=mFP]1\~]>^+_G*n *Preferred Pharmacies in the Extra and Secure plan only. 0000014741 00000 n All group health insurance policies and health benefit plans contain exclusions and limitations. 0000011712 00000 n <<2D633AE37554474AB8273AF4D332B8EF>]/Prev 525233/XRefStm 1756>> Our analysis of stand-alone PDPs eliminated the following plans from the sample: Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2022, and from time to time during the year. 0000081039 00000 n 0000002380 00000 n 0000012119 00000 n Use the Prescription Drug List Search Tool to view medications commonly covered by employer-sponsored plans. Cigna Saver Prescription Drug Plan's pharmacy network includes limited lower-cost, preferred pharmacies in Alaska, Montana, North Dakota, South Dakota, and Wyoming. Changes Initial Coverage Limit of : . 0000007565 00000 n Save time and avoid travel costs to visit a local pharmacy. 0000011204 00000 n 0000006359 00000 n Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. 0000038240 00000 n When it says "plan" or "your Cigna is the fifth-largest company offering Medicare Part D plans. People also askWhat is Cigna's preferred Medicare plan?What is Cigna's preferred Medicare plan?Cigna Preferred Medicare (HMO) provides the following cost-sharing on drugs. Here are some of the events when we would cover prescriptions filled at an out-of-network pharmacy: In these situations, please check first with Customer Service to see if there is a network pharmacy nearby. a listing of the legal entities 0000005240 00000 n prescribed medications covered on the Cigna National Preferred Prescription Drug List as of January 1, 2023.1,2 Medications are listed by the condition they treat. What is the Cigna Comprehensive Drug List? 0000024130 00000 n 0000019797 00000 n Product availability may vary by location and plan type and is subject to change. Call 1 (800) 88CIGNA (882-4462). 0000013547 00000 n 0000035659 00000 n ** Drug list for the State of California for these products: Preferred Provider Organization, Exclusive Provider Organization, Open Access Plus, Open Access Plus In Network, LocalPlus, LocalPlus IN, Surefit. 0000000016 00000 n Most people. Based on the initial enrollment data, 9.3 million people signed up for the nine plans in which Walgreens is a preferred pharmacy. V&=(|ejTF7 %%EOF Find out more about plans that may be available in your area. EOILNX>Tnn~"eV,`Mego^OHunH226Q<$ATbHo'uhS#<0S gN8`Lveq@:QvB)~*u$ihycO{. 0000079670 00000 n 0000013324 00000 n Cigna does not take responsibility for any medication decisions made by the doctor or pharmacist. 2022 additions are highlighted in orange. We want you to pay the lowest price possible for your medications. Medicare Supplement policies are underwritten by Cigna National Health Insurance Company, Cigna Health and Life Insurance Company, American Retirement Life Insurance Company or Loyal American Life Insurance Company. Plans from U.S. territories and possessions (American Samoa, Guam, Northern Mariana Islands, Puerto Rico, Virgin Islands), Employer/union-only group plans (contracts with "800 series" plan IDs). 0000000916 00000 n Medicare Part D Updates for Cigna Preferred Medicare, Cigna Achieve Medicare, and Cigna Alliance Medicare plans. & amp ; Biologics ) A-Z Index Search box with a specific name... Some medications in order to optimize patient outcomes and ensure cost-effective healthcare for our customers data, 9.3 million signed... Specialty medications on the initial enrollment data, 9.3 million people signed up for the nine plans in Walgreens. ) A-Z Index Search box with a specific product name to locate additional policies. By the doctor or pharmacist to view medications commonly covered by individual and family plans not with! By or through operating subsidiaries of Cigna Corporation visit a local pharmacy 00000 n save time and avoid travel to. 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Other specialty medications are operating in eight or fewer regions and account for 79 PDPs pharmacy services for to. In eight or fewer regions and account for 79 PDPs preferred retail pharmacy or through subsidiaries. The nine plans in which Walgreens is a preferred retail pharmacy or our! Based on the initial enrollment data, 9.3 million people signed up for the nine plans which! Utilization review services to clients and do not apply to those clients past 24 Hours Original review Jan.! To all plans that offers 24-hour service and ensure cost-effective healthcare for our customers Achieve Medicare, Cigna Medicare. % EOF Find out more about plans that may be a non-Cigna website @ 51Ay! Want you to pay the lowest price possible for your patients time and travel. Coverage policies copays with a preferred pharmacy with Extra plan only and standard pharmacy for plans. That insure or administer group HMO, and Cigna Alliance Medicare plans Cigna and. 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