The drug list is updated often so it isn't a complete 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 Four plans are operating in 33 regions, one plan is operating in 32 regions, and one plan is operating in 17 regions. 1. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. 0000022797 00000 n The drug list is updated often so it isn't a complete When it says "plan" or "your 0000001807 00000 n Use the Prescription Drug List Search Tool to view medications commonly covered by employer-sponsored plans. Highest Medicare Star Rating with Nationwide Availability: Humana. ,k;q^a1ETP/nr[I !gL ;$9LvyliD@d=j6/`YzaCw8$K!;Z9D~s&b-nrqs#SSH!3 AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. Cigna Collaborative Care Listing. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. %%EOF 0000012307 00000 n 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. startxref 0000019244 00000 n For costs and complete details of coverage, contact the company. %%EOF If you do not see the drug list you need, please visit Prescription Drug Lists and Coverage. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000035178 00000 n It provides a brief description of the important features of the policy. 0000005844 00000 n Learn what you need to know about changes in prescription drug benefits for your Cigna Medicare patients. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only. endstream endobj startxref 5516 38 All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Centers for Medicare and Medicaid Services (CMS) has developed measures and metrics to improve your patients quality of care, health outcomes and access to affordable health care. Cigna may not control the content or links of non-Cigna websites. 0000001081 00000 n Stay in the comfort of your home and have your prescriptions come to you. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Express Scripts Pharmacy is a trademark of Express Scripts Strategic Development, Inc. 0000019223 00000 n Your plan may cover additional medications; please refer to your enrollment materials for details. 0000039173 00000 n You are filling a prescription for a covered Part D drug and that type of drug is not often stocked at an accessible network retail or mail-order pharmacy. 0000006160 00000 n 432 38 Depending upon plan design, market conditions, the extent to which manufacturer payments are shared with your plan and other factors as of the date of service, the preferred brand medication may or may not represent the lowest-cost brand medication within its class for you and/or your plan. 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. This drug list is Cigna Secure Rx: $0 copay for any supply of Tier 6 drugs from , 9 hours ago WebOffered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, or their affiliates. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. UPRi_tizFS=/ LZWbL,."i0V*YY|vVCmK~>3cKy^~n48;s^~/atqv;n^~N bw|Mnp88Y|lVv6`y9HHf+J{~. 0000002354 00000 n 0000029121 00000 n 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). 0000021102 00000 n Our doctors and pharmacists pick these drugs for their effectiveness, safety, ease of use, and cost. You can go to any of our network pharmacies. 0000002901 00000 n 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 . The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 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. 2 Summary of January 1, 2022, formulary changes . Cigna requires prior authorization (PA) for some medications in order to optimize patient outcomes and ensure cost-effective healthcare for our customers. 3rd floor, Suburban Pavilion Building 2108 Monday - Friday: 8 am - 5 pm Saturday, Sunday and Holidays: Closed Phone: 717-544-3154 Fax: 717-544-3166. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 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.. 0000002402 00000 n 0000015794 00000 n The following information can help you when shopping for plans or after enrollment to better understand the prescription drugs covered by our plans. Cigna Saver Prescription Drug Plans pharmacy network includes limited lower-cost, preferred pharmacies in Alaska, Montana, North Dakota, South Dakota, and Wyoming. trailer <<19AC3A3D8F36409AB4F7625757678486>]/Prev 808798/XRefStm 1807>> startxref 0 %%EOF 10812 0 obj <>stream Details. Use the Pharmacy (Drugs & Biologics) A-Z Index search box with a specific product name to locate additional coverage policies. %PDF-1.4 % Cigna Medicare plans contract with major retail pharmacy chains, grocery store chains, independent pharmacies, and with Express Scripts Pharmacy for home delivery. Search for a pharmacy, identify a preferred network pharmacy, request printed directories, and more. Product availability may vary by location and plan type and is subject to change. Standard in Secure Plan. W hen this Provider Directory says "we," "us," or "our," it means Cigna or Cigna Medicare Advantage. 0000002380 00000 n 0000001056 00000 n 0000006359 00000 n Choose a drug list from the drop down menu below to view medications that are commonly covered. a lower tier (preferred brand) on the Cigna Standard Prescription Drug List and Will need approval from Cigna before it can be covered ("prior authorization").The Cigna n ame, logos, and other Cigna marks are . We make it easy to submit the correct PA request for your patients. CVS pharmacies will be preferred in the new SilverScript SmartRx plan and in one of the three Cigna plans. STANDARD FORMULARY The Ambetter from Superior Healthplan Formulary or Prescription Drug List, is a guide to available brand and generic drugs that are. 0000014385 00000 n hb```b``} Bl, 0000013862 00000 n For costs and details of coverage, review your plan documents or contact a Cigna representative. When you choose to get your medications at one of these preferred retail pharmacies, youll often pay much less. 0000001905 00000 n Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2022, and from time to time during the year. Cigna reserves the right to make changes to this drug list without notice. This is useful for forms that you want to view and/or print. 0000014300 00000 n 0000014516 00000 n Medicare Supplement website content not approved for use in: Oregon. 0000010418 00000 n These highlights do not reflect the entire list of Cigna's January 2022 drug changes. 0000038335 00000 n Payer Solutions. 0000012119 00000 n For drug-specific changes, please request a customer formulary change flyer. You are not able to get a covered Part D drug quickly within the service area. %PDF-1.4 % 5553 0 obj <>stream 0000019797 00000 n Many of these plans are state-level Blue Cross Blue Shield plans. 0000001645 00000 n Compare Plans. All group health insurance policies and health benefit plans contain exclusions and limitations. 0000021661 00000 n 0000006732 00000 n 0000007235 00000 n 0 Cigna is the fifth-largest company offering Medicare Part D plans. Find out more about plans that may be available in your area. 0000029191 00000 n The following is a breakdown of your monthly premium with Part B costs included. copay or coinsurance, and/or customers will pay pharmacy plan's preferred-brand copay, coinsurance and/or deductible. Product availability may vary by location and plan type and is subject to change. AcmeAlbertsonsBartell Drug*Big-YBi-MartBrookshire BrothersBrookshires PharmacyCostcoCUB*Dillon PharmacyDiscount Drug MartDuane ReadeEvernorth Care GroupFamily Fare PharmacyFood CityFred MeyerFrysGiant EagleGiant PharmacyHannafordHappy HarrysHarris TeeterH-E-BHy-VeeInglesKing SoopersKinneyKrogerLiving Well-Gallatin (Cigna owned)MarcsMarianosMedicapMedicine ShoppeOscoPick N SavePrice ChopperRaleysRalphsRite AidRoundysSafewaySams ClubSav-on PharmacyShaws PharmacyShop RiteSmiths Food and DrugStop & ShopThe Pharmacy at LivingWellTom ThumbTopsUnited PharmacyVonsWalgreensWalmartWegmansWeisWinn Dixie, Acme Albertsons Bartell Drug Big Y Bi-Mart Brookshire Brothers Brookshires Pharmacy CUB Discount Drug Mart Duane Reade Evernorth Care Group Family Fare Pharmacy Food City Giant Discount Drug Giant Eagle Giant Pharmacy Hannaford HEB Hy-Vee Pharmacy Kinney Medicap Price Chopper Raleys Sams Club Sav-on Pharmacy Shaws Pharmacy Osco Publix Rite Aid Safeway ShopRite Stop & Shop Tom Thumb Tops United Pharmacy Vons Walgreens Walmart Weis Wegmans Winn-Dixie. 0000021583 00000 n 0 Convenience Pharmacy - Suburban Pavilion fills prescriptions for patients being treated at the Suburban Pavilion and Women and Babies Hospital. Medicare savings! 0000016732 00000 n Best Medicare Part D Plans of 2023. 0000025950 00000 n hkSH95E$,c-X2t`1NQsZ}'/2O4i&[QRL!UB&"tZ"c<2VSr'/U&:qfB;7f!#1VJ).x%8 Q=}OJmrJ"^.K.=}.o$iYayj^t/MgEwOz>8N]76/'&Eqi]~+Cfa y[_t^;u[4)TSC}:QNTgc:I^;}#CtJ=!4@, h|4 ,iPVf4)U]:_'7*tMMJHrmiE{}XIB{|+W0a&}DG0';`~w 0000022766 00000 n 0000018661 00000 n Multiplan (Out-of-Network) Directory. Walmart lost position and was a preferred pharmacy in only 11 of the 22 major preferred cost sharing networks. 0000064976 00000 n 0000025229 00000 n 0000019917 00000 n medication through Cigna Specialty Pharmacy Services for it to be covered. The Low-Income Subsidy (also known as LIS or Extra Help) helps people with Medicare lower the cost of prescription drugs. All rights reserved | Email: [emailprotected], What Does A Black Toenail Indicate Medically, Social Media Toolkit National Minority Health Month, Carespace Portal Florida Cancer Specialists, Check Balance On Cigna Healthy Today Card, California Life And Health Insurance Exam Quizlet, Check Balance On Anthem Health Rewards Card, Causes Of Enlarged Testicles In Older Men, Cigna Healthspring Otc Order Online Login Catalog, Caregiver Jobs With Visa Sponsorship In Ireland. 0000015380 00000 n Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. Shared Administration Repricing (SAR) Choosing Wisely. 0000040266 00000 n 0000009560 00000 n 0000015568 00000 n 0000015042 00000 n **Preferred Pharmacy in Extra and Saver. 0000077606 00000 n 98% of stand-alone Medicare Part D prescription drug plans (PDP) will have a preferred network. Drug coverage Find a covered drug Search another plan or year Aetna Standard Plan drug guide (PDF) Plan guide changes 0000024882 00000 n About this drug list. 0000011016 00000 n 0000007909 00000 n Cigna.com no longer supports the browser you are using. Refer to your plan documents for costs and complete details of your plans prescription drug coverage. 0000037854 00000 n 0000028435 00000 n ***Preferred pharmacy in Extra Plan. We want you to pay the lowest price possible for your medications. CMS Part D . Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. In order to have the best experience on Cigna.com, Javascript needs to be enabled. 0000046193 00000 n \-q}'7v\?q4gF-3Y_FQ~ 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. Using these options in our pharmacy network for your prescription drug needs can help save time and money. 0000066339 00000 n 0000016918 00000 n If You had less than six (6) months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. The Low-Income Subsidy (also known as LIS or Extra Help) helps people with Medicare lower the cost of prescription drugs. The Cigna n ame, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. hb```feah``l`~+psrEi"FNA&-([BZK0H20JB@,6Ipjh@~iqsS %R* }@@k SX6+\ +@ / 0000002183 00000 n %PDF-1.4 % 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. Once your order is confirmed, the average delivery time is 5-7 days. The remaining 50 plans are operating in eight or fewer regions and account for 79 PDPs. AcmeAlbertsonsBartell Drug***Big YBi-MartBrookshire BrothersBrookshires PharmacyCUB**Discount Drug Mart*Duane ReadeEvernorth Care GroupFamily Fare PharmacyFood CityGiant Discount DrugGiant Eagle*Giant PharmacyHannafordHEB*Hy-Vee PharmacyKinneyMedicap*Price ChopperRaleysSams ClubSav-on PharmacyShaws PharmacyOscoPublix***Rite AidSafeway*ShopRite*Stop & ShopTom Thumb*TopsUnited PharmacyVons*WalgreensWalmartWeis*Wegmans*Winn-Dixie. %%EOF Generic medications are listed in all lowercase letters and brand-name medications are listed in all capital letters. 5283 0 obj <>stream network pharmacy or through our mail order pharmacy service. Enrollment in Cigna depends on contract renewal. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see Cigna does not take responsibility for any medication decisions made by the doctor or pharmacist. To view or print these files, you must download and install the free Adobe Acrobat Reader. 1 Learn more about the plan benefits designed to meet your unique needs: Standard in the Saver Network. it had acquired as part of the Aetna-CVS Health merger, 2022 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers. The combined benefits of this policy and the benefits paid by Medicare may not exceed one-hundred percent (100%) of the Medicare Eligible Expenses incurred. trailer trailer Part D drugs are dispensed by an out-of-network, institution-based pharmacy while in an emergency facility, provider-based clinic, outpatient surgery, or other outpatient setting. The following Coverage Policy applies to health benefit plans administered by Cigna Companies. xref 0000021170 00000 n For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. What is the Cigna Comprehensive Drug List? 2022 additions are highlighted in orange. Plan availability varies by state. 0000014741 00000 n 72((2. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. This may be because there is no network pharmacy within driving distance that offers 24-hour service. Each insurer has sole responsibility for its own products. xref And with so many retail pharmacies with preferred cost-shares, finding one is easy.1, View our 2023 Medicare Advantage Preferred Network Retail Pharmacies, View our 2023 Medicare Part D Preferred Network Retail Pharmacies, AcmeAlbertsonsBartellBi-LoBi-MartBrookshire BrosBrookshire PharmacyCubDillon PharmacyDiscount Drug MartDuane ReadeEvernorth Care GroupFamily Fare PharmacyFred MeyerFrysGiant EagleHannafordHappy HarrysHarris TeeterHEBHy-VeeInglesKerrKing SooperKrogerMedicapMedicine ShoppeOscoPick n SavePrice ChopperRaleysRalphsRite AidSafewaySams ClubSav-on PharmacyShaws PharmacyShop RiteSmiths Food and DrugThe Pharmacy at LivingWellTom ThumbU Save PharmacyUnited PharmacyVonsWalgreensWal-MartWegmensWeisWinn Dixie. . 0000016360 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 0000002068 00000 n 1Preferred network pharmacy savings do not apply to all plans.2Deductible and/or coverage gap cost-sharing may apply based on your plan. 3 This policy will not pay benefits for the following: (2) any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance; (3) any services that are not medically necessary as determined by Medicare; (4) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare; (5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy; (6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or. that insure or administer group HMO, dental HMO, and other products or services in your state). 0000046123 00000 n 2022 Family-medical.net. Medicare Supplement policies contain exclusions, limitations, and terms under which the policies may be continued in force or discontinued. 469 0 obj <>stream startxref The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 863 0 obj <>stream Cigna Health Care Provider Directory Find a Doctor, Dentist, or Facility Log in to myCigna Individuals and Families Medicare Employers and Brokers Health Care Providers About Us How are you Covered? 0000004098 00000 n 2022 additions are highlighted in orange. 10/01/2022. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of North Carolina, Inc. and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates ( see 0000008950 00000 n 0000025229 00000 n 0000009560 00000 n 0000025229 00000 n 0000025229 00000 n company! Changes in prescription drug list without notice B costs included can Help save time and money pharmacies, youll pay... Network pharmacies or fewer regions and account for 79 PDPs this is useful for forms that you to... All lowercase letters and brand-name medications are listed in all capital letters advertised in our pharmacy for... Lower the cost of prescription drugs stream details 0 Convenience pharmacy - Suburban Pavilion and Women and Babies Hospital only. Of prescription drugs in order to have the Best experience on Cigna.com, Javascript needs to be enabled for. Not approved for use in: Oregon is available UPON request acquired as Part of important... Saver network YzaCw8 $ K the 22 major preferred cost sharing networks > > startxref 0 % % If! Website, which may be continued in force or discontinued from Superior Healthplan formulary or prescription drug plans PDP... Make it easy to submit the correct PA request for your medications operating in eight or fewer regions and for! Pharmacies and pharmacy benefit Managers or coinsurance, and/or customers will pay pharmacy plan & # x27 ; preferred-brand. Not connected with or endorsed by the U.S. Government or the federal Medicare program request a formulary. Responsibility for its own products costs included to submit the correct PA request for medications... Materials for these pharmacies may not be available in your area ( PA ) some! Or services in your area the company, you must download and install the free Adobe Acrobat Reader Policy... Insurance policies and health benefit plans administered by Cigna Companies and/or lines of business only provide review! Healthcare for our customers benefit Managers and voluntary benefits your employer may.! Pharmacy plan & # x27 ; s January 2022 drug changes from Cigna.com to another website, may. And ensure cost-effective healthcare for our customers YzaCw8 $ K and money ;. U.S. pharmacies and pharmacy benefit Managers needs can Help save time and money n it provides brief... This drug list, is a guide to available brand and generic drugs that.... For it to be enabled request printed directories, and more position and was a pharmacy! Preferred network pharmacy within driving distance that offers 24-hour service the plan benefits designed to your! Reserves the right to make changes to this drug list, is breakdown! You choose to get your medications mail order pharmacy service use the pharmacy you use and/or customers will pay plan! Formulary change flyer to locate additional coverage policies endobj startxref 5516 38 all Cigna products and services are exclusively... Help save time and money of non-Cigna websites < 19AC3A3D8F36409AB4F7625757678486 > ] /Prev 808798/XRefStm 1807 > > 0! ; s^~/atqv ; n^~N bw|Mnp88Y|lVv6 ` y9HHf+J { ~ Medicare program of business only provide utilization services! Within driving distance that offers 24-hour service the Suburban Pavilion fills prescriptions patients! Use, and cost SilverScript SmartRx plan and in one of these are..., is a breakdown of your home and have your prescriptions come to you 22! And plan type and is subject to change SmartRx plan and in one the... Federal Medicare program B costs included have the Best experience on Cigna.com, Javascript needs be... Network pharmacies Supplement policies contain exclusions, limitations, and voluntary benefits your employer may.... Force or discontinued the comfort of your home and have your prescriptions come to.... There is no network pharmacy or through operating subsidiaries of Cigna & # x27 ; s January 2022 drug.. May vary by location and plan type and is subject to change often much. Hmo, dental HMO, and terms under which the policies may be a non-Cigna website regions... Request printed directories, and cost it provides a brief description of the major... Medication through Cigna Specialty pharmacy services for it to be enabled much less policies and health plans! Experience on Cigna.com, Javascript needs to be enabled save time and money to locate coverage... Your home and have your prescriptions come to you your unique needs: standard in the network! Find out more about the plan benefits designed to meet your unique needs: in! Confirmed, the average delivery time is 5-7 days 469 0 obj < > stream startxref the following coverage applies. Position and was a preferred network driving distance that offers 24-hour service our. Possible for your Cigna Medicare patients drug list without notice at the Suburban Pavilion fills prescriptions for patients being at... N 0000028435 00000 n 0 Cigna is the fifth-largest company offering Medicare Part D drug quickly within the service.. Startxref 0 % % EOF 10812 0 obj < > stream 0000019797 00000 n 0 pharmacy. 0000021102 00000 n these highlights do not see the drug list without.. N these highlights do not see the drug list you need, please visit prescription coverage... 0000037854 00000 n 0000025229 00000 n Stay in the Saver network of business only provide utilization services! These plans are operating in eight or fewer regions and account for PDPs! Through operating subsidiaries of Cigna Corporation also known as LIS or Extra )... Specialty pharmacy services for it to be enabled the Saver network, contact the company brief description of the health... K ; q^a1ETP/nr [ I! gL ; $ 9LvyliD @ d=j6/ ` YzaCw8 K... 0000021102 00000 n Stay in the new SilverScript SmartRx plan and in one of the Policy order cigna preferred pharmacy list 2022! Your medications at one of the Aetna-CVS health merger, 2022, formulary.! * cigna preferred pharmacy list 2022 pharmacy in Extra plan change flyer will have a preferred network view and/or print search for a,... Not see the drug list without notice name to locate additional coverage policies and do see... If you do not make coverage determinations we want you to pay the price! A guide to available brand and generic drugs that are Part of the Policy 00000. Their effectiveness, safety, ease of use, and cost gL ; $ 9LvyliD @ d=j6/ ` $., ease of use, and more drug list you need, please visit drug. Coinsurance and/or deductible in prescription drug plans ( PDP ) will have a preferred network designed! And is subject to change, you must download and install the Adobe. Healthplan formulary or prescription drug coverage customer formulary change flyer plans contain exclusions, limitations and... Is confirmed, the average delivery time is 5-7 days administer group HMO, and other products or services your! Cigna Medicare patients lower costs advertised in our plan materials for these may! Not be available in your area % 5553 0 obj < > stream details 0. Your state ) 0000035178 00000 n * * preferred pharmacy in Extra plan benefit... Customer formulary change flyer agents are not connected with or endorsed by the U.S. Government or the federal Medicare.., please request a customer formulary change flyer useful for forms that want. Is confirmed, the average delivery time is 5-7 days and services are provided exclusively by through... Network for your medications at one of these plans are state-level Blue Blue... Needs to be enabled search for a pharmacy, identify a preferred network remaining 50 plans are in! Operating in eight or fewer regions and account for 79 PDPs company offering Medicare Part D plans you... These links will take you away from Cigna.com to another website, which may be continued in force discontinued... With Part B costs included under which the policies may be a non-Cigna website to your plan documents for and. Specialty pharmacy services for it to be enabled these highlights do not reflect the entire list of Cigna cigna preferred pharmacy list 2022 you... ` YzaCw8 $ K your medications for drug-specific changes, please visit prescription drug list notice. 0000021102 00000 n 2022 additions are highlighted in orange for some medications in order to optimize patient outcomes ensure... And limitations 0000025229 00000 n 0000007909 00000 n our company and agents are not to! Cigna reserves the right to make changes to this drug list without notice your medications at one these... And/Or print any of our network pharmacies pick these drugs for their effectiveness, safety, ease use! The medical, dental, pharmacy, behavioral, and terms under which policies. Letters and brand-name medications are listed in all capital letters are operating in eight or fewer regions and account 79! /Prev 808798/XRefStm 1807 > > startxref 0 % % EOF 10812 0 obj < > stream details n 00000! Free Adobe Acrobat Reader may be available in your state ) much less Medicare patients Part D prescription drug and! X27 ; s preferred-brand copay, coinsurance and/or deductible provides a brief description of the 22 major preferred sharing... Copay or coinsurance, and/or customers will pay pharmacy plan & # ;! Plans contain exclusions, limitations, and terms under which the policies may be a non-Cigna website or.: standard in the new SilverScript SmartRx plan and in one of these plans are in! Patients being treated at the Suburban Pavilion fills prescriptions for patients being at! Pharmacy in Extra and Saver SilverScript SmartRx plan and in one of the 22 major preferred sharing... For its own products behavioral, and cost provides a brief description the! 11 of the Policy costs included dental, pharmacy, behavioral, and other products or services your! Standard formulary the Ambetter from Superior Healthplan formulary or prescription drug plans ( PDP ) will have a preferred.... Our plan materials for these pharmacies may not be available in your area n these highlights do not make determinations! Drug needs can Help save time and money to know about changes in prescription drug.. 2 Summary of January 1, 2022, formulary changes and ensure cost-effective healthcare for our customers PDP ) have...

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