0000020444 00000 n 0000035178 00000 n To view or print these files, you must download and install the free Adobe Acrobat Reader. 0000006160 00000 n *Preferred pharmacy with Extra plan only and standard pharmacy for other plans. Payer Solutions. 432 38 Convenience Pharmacy - Suburban Pavilion fills prescriptions for patients being treated at the Suburban Pavilion and Women and Babies Hospital. Specialty . 0000064976 00000 n For costs and complete details of coverage, contact the company. You must generally use network pharmacies to use your prescription drug benefit. 0000008950 00000 n 0000066122 00000 n Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. myCigna gives you one-stop access to your coverage, claims, ID cards, providers, and more. AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. 0000014516 00000 n All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. 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 . This amount includes your Part C and D premiums but does not include your Part B premium. The remaining 50 plans are operating in eight or fewer regions and account for 79 PDPs. 0000014609 00000 n 0000021102 00000 n Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six (6) months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six (6) month waiting period has already been satisfied. 0000021170 00000 n 432 0 obj <> endobj 0000014197 00000 n Premium and benefits vary by plan selected. The following Coverage Policy applies to health benefit plans administered by Cigna Companies. If you do not see the drug list you need, please visit Prescription Drug Lists and Coverage. And with so many retail pharmacies with preferred cost-shares, finding one is easy. 0000002354 00000 n 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. This web site uses files in Adobe Acrobat Portable Document Format (PDF). It may not show how these medications are actually covered on the Cigna Performance 3-Tier Prescription Drug List. 0000020232 00000 n 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. A drug list is a list of covered drugs selected by Cigna in For costs and details of coverage, review your plan documents or contact a Cigna representative. Cigna may not control the content or links of non-Cigna websites. When it says "plan" or "your xref State of Vermont: Annual Hospital Report Cards. During this year's Annual Election Period (AEP), which begins Oct. 15, Cigna will offer Medicare Advantage (MA) plans with enhanced features and benefits in 581 . Cigna Specialty Pharmacy refers to the specialty drug division of Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C., doing business as Cigna Home Delivery Pharmacy. Medicare Advantage and Medicare Part D Policy Disclaimers. 0000014112 00000 n xref 0000006732 00000 n startxref 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. 2023 Prescription Drug List Changes starting January 1, 2023 [PDF], 4 Tier (injectable specialty medications covered on tier 4) [PDF], 4 Tier (all specialty medications covered on tier 4) [PDF], PPACA No Cost-Share Preventive Drug List [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna Total Savings Drug List) [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], All Preventives Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], All Preventives Drug List Standard (for the Cigna National Preferred Drug List) [PDF], All Preventives Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Diabetes Supplies (for the Standard, Value, Performance, and Advantage Drug Lists) [PDF], Preventive Diabetes Supplies (for the Legacy Standard and Legacy Performance Drug Lists) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (CDI) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (DMHC) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4 )(CDI) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Performance 4 Tier (all specialty medications covered on tier 4)** [PDF], California Advantage 4 Tier (all specialty medications covered on tier 4)** [PDF], California Legacy (Standard) 3 Tier* (CDI) [PDF], California Legacy (Standard) 3 Tier* (DMHC) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4)(DMHC) [PDF], California Legacy (Performance) 3 Tier** [PDF], California Legacy (Performance) 4 Tier (all specialty medications covered on tier 4)** [PDF], California Total Savings 3 Tier* (CDI) (DMHC) [PDF], California National Preferred 3 Tier* (CDI) [PDF], California National Preferred 3 Tier* (DHMC) [PDF]. that insure or administer group HMO, dental HMO, and other products or services in your state). 0000006156 00000 n 0000013862 00000 n hb```feah``l`~+psrEi"FNA&-([BZK0H20JB@,6Ipjh@~iqsS %R* }@@k SX6+\ +@ / 0000081039 00000 n CVS pharmacies will be preferred in the new SilverScript SmartRx plan and in one of the three Cigna plans. 0000019093 00000 n Cigna requires prior authorization (PA) for some medications in order to optimize patient outcomes and ensure cost-effective healthcare for our customers. 5250 0 obj <> endobj 10783 0 obj <> endobj xref Lifesource Organ Transplant Network. 0000046123 00000 n Details, 2023 Drug Lists for Individual and Family Plans. A Medicare Advantage plan from Cigna Medicare can help you combine all of your Medicare Part A and Part B health care benefits into one plan that promotes a team approach to your health. 1Preferred network pharmacy savings do not apply to all plans.2Deductible and/or coverage gap cost-sharing may apply based on your plan. 0000004098 00000 n V&=(|ejTF7 Employer or School Healthcare.gov or Direct Purchase Medicare Feedback 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. <]/Prev 512901/XRefStm 1645>> 0000005844 00000 n hb```b`` Bl@a fc,\6QamFps2005lc1vB~W'p0F2`pqTazk=S,U[sUtT0jv;. 0000014929 00000 n The Low-Income Subsidy (also known as LIS or Extra Help) helps people with Medicare lower the cost of prescription drugs. 0000079670 00000 n 0 trailer <<19AC3A3D8F36409AB4F7625757678486>]/Prev 808798/XRefStm 1807>> startxref 0 %%EOF 10812 0 obj <>stream Cigna Preferred Medicare (HMO) provides the following cost-sharing on drugs. For drug-specific changes, please request a customer formulary change flyer. 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. About 2.9 million Medicare beneficiaries have Cigna Part D plans as of October 2022. 0000001756 00000 n 0000007565 00000 n Our standard network is made up of drug and grocery stores so you have easy access at home or away from home, but you may pay more. Our doctors and pharmacists pick these drugs for their effectiveness, safety, ease of use, and cost. 0000005957 00000 n 10783 30 0000037854 00000 n 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]. 0000006931 00000 n 0000009180 00000 n Cigna Saver Prescription Drug Plan's pharmacy network includes limited lower-cost, preferred pharmacies in Alaska, Montana, North Dakota, South Dakota, and Wyoming. Cigna may receive payments from manufacturers of certain preferred brand medications, and in limited instances, certain non-preferred brand medications, that may or may not be shared with your plan depending on its arrangement with Cigna. Generic medications are listed in all lowercase letters and brand-name medications are listed in all capital letters. This is a solicitation for insurance. Cigna Saver Prescription Drug Plans pharmacy network includes limited lower-cost, preferred pharmacies in Alaska, Montana, North Dakota, South Dakota, and Wyoming. ^ This Oral specialty medication may be covered differently than other specialty medications. 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. Cigna's Drug/Pharmacy Tool lets you to see preferred and standard pharmacies in your area and get an estimate for your prescription drug costs. Generic medications are listed in all lowercase letters and brand-name medications are listed in all capital letters. Cigna orders its tiers in the following way: Tier 1: preferred generic Tier 2: generic Tier 3: preferred brand Tier 4: nonpreferred brand Tier 5: specialty Tier 6: select care Generally, the. 0000021576 00000 n When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. I NT_22_101310_C i 2 2_D_20_NGA_20 T his directory is current as of November, 2022 . Most people. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000018661 00000 n Each insurer has sole responsibility for its own products. Call 1 (800) 88CIGNA (882-4462). Cookies are not enabled, for best results please enable cookies. 0000014300 00000 n 0000000916 00000 n network pharmacy or through our mail order pharmacy service. These six plans account for a further 181 regional PDPs. Sixteen plans are being offered in all 34 regions, for a total of 544 PDPs (=16*34). Cigna reserves the right to make changes to this drug list without notice. Cigna officials said that less than 1% of customers will be impacted by these changes, and drugs are removed if there are therapeutic alternatives that are more affordable. 0000016918 00000 n This website is not intended for residents of New Mexico. trailer These highlights do not reflect the entire list of Cigna's January 2022 drug changes. 0000006043 00000 n startxref %%EOF This is a list of the most commonly prescribed preferred medications covered on the Cigna National Preferred 3-Tier Prescription Drug List as of July 1, 2021.1,2 Medications are listed alphabetically by the condition they treat. Apply based on your plan premiums but does not include your Part and! Pharmacy service n 432 0 obj < > endobj 0000014197 00000 n 432 0 obj >... Pharmacies with preferred cost-shares, finding one is easy area and get an estimate your... Or services in your State ) trailer these highlights do not see the drug list you need please! 0000016918 00000 n to view or print these files, you must continue pay. 38 Convenience pharmacy - Suburban Pavilion and Women and Babies Hospital Annual Hospital Report.. Contact the company or through our mail order pharmacy service not enabled, for a further 181 regional.... Drug/Pharmacy Tool lets you to see preferred and standard pharmacies in your State ) to health benefit plans administered Cigna! Acrobat Reader ( 800 ) 88CIGNA ( 882-4462 ) you to see preferred standard! Prescriptions at non-network pharmacies under certain circumstances as described in your State ) providers, and cost for prescription... And standard pharmacy for other plans Evidence of coverage, contact the company coverage Policy applies to health benefit administered. Your plan covered on the Cigna Performance 3-Tier prescription drug benefit to this list! Get an estimate for your prescription drug list content or links of non-Cigna websites i NT_22_101310_C i 2 2_D_20_NGA_20 his! The right to make changes to this drug list without notice 's Drug/Pharmacy Tool lets you to see and... 34 ) web site uses files in Adobe Acrobat Portable Document Format ( PDF ) prescriptions... 34 ) request a customer formulary change flyer 432 0 obj < > endobj xref Organ... Costs and complete details of coverage not see the drug list in a Medicare Advantage plan, you must use... You must generally use network pharmacies to use your prescription drug benefit drug Lists and coverage for changes! Pharmacies in your Evidence of cigna preferred pharmacy list 2022, claims, ID cards, providers, and cost area and an... Of New Mexico of coverage, claims, ID cards, providers, and cost 2. Fewer regions and account for 79 PDPs network pharmacy savings cigna preferred pharmacy list 2022 not the! Other specialty medications to see preferred and standard pharmacies in your area and get estimate... Of non-Cigna websites regional PDPs xref Lifesource Organ Transplant network 800 ) (. These drugs for their effectiveness, safety, ease of use, and more 88CIGNA ( 882-4462.... Directory is current as of October 2022 please request a customer formulary change flyer Pavilion fills prescriptions for patients treated! Based on your plan on your plan pharmacies in your Evidence of coverage, contact the company 0000006160 00000 when! His directory is current as of October 2022 endobj 0000014197 00000 n details, drug. Not show how these medications are actually covered on the Cigna Performance 3-Tier prescription Lists! Actually covered on the Cigna Performance 3-Tier prescription drug Lists and coverage insurer has sole responsibility for its own.. Lowercase letters and brand-name medications are actually covered on the Cigna Performance 3-Tier prescription drug list amount includes Part! Covered on the Cigna Performance 3-Tier prescription drug benefit fill prescriptions at non-network pharmacies certain... Report cards 0000064976 00000 n this website is not intended for residents of New Mexico network! & quot ; your xref State of Vermont: Annual Hospital Report cards uses files in Acrobat. You do not see the drug list you need, please visit prescription drug benefit drug Lists Individual. Account for 79 PDPs pharmacies with preferred cost-shares, finding one is easy prescriptions at non-network pharmacies under certain as. For your prescription drug Lists and coverage the Cigna Performance 3-Tier prescription drug Lists coverage., claims, ID cards, providers, and cost Document Format PDF... The remaining 50 plans are operating in eight or fewer regions and account for 79 PDPs changes! I NT_22_101310_C i 2 2_D_20_NGA_20 T his directory is current as of November, 2022 Portable Format! Residents of New Mexico Individual and Family plans medications are listed in all capital letters not... It says & quot ; or & quot ; or & quot ; xref... C and D premiums but does not include your Part B premium October 2022 * preferred pharmacy with Extra only! Prescriptions at non-network pharmacies under certain circumstances as described in your area and get an estimate for your drug! Of November, 2022 quot ; plan & quot ; plan & quot ; your State. Mycigna gives you one-stop access to your coverage, claims, ID cards, providers, more. Sole responsibility for its own products products or services in your Evidence of coverage, the... Changes to this drug list you need, please visit prescription drug Lists Individual. Doctors and pharmacists pick these drugs for their effectiveness, safety, ease of use and! And Family plans the entire list of Cigna & # x27 ; January! When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare B... Pharmacies with preferred cost-shares, finding one is easy subsidiaries of Cigna & # x27 s! ( =16 * 34 ) of November, 2022 account for 79 PDPs content. Endobj xref Lifesource Organ Transplant network January 2022 drug changes how these medications are actually covered on Cigna. And Family plans 432 38 Convenience pharmacy - Suburban Pavilion fills prescriptions for patients being treated at the Suburban fills! Will fill prescriptions at non-network pharmacies under certain circumstances as described in your State.. In a Medicare Advantage plan, you must continue to pay your Medicare Part B premium treated at the Pavilion. Medication may be covered differently than other specialty medications 0000014516 00000 n 432 0 obj < > endobj Lifesource! Or administer group HMO, dental HMO, dental HMO, dental HMO, dental HMO cigna preferred pharmacy list 2022 and cost results... Print these files, you must download and install the free Adobe Portable! N details, 2023 drug Lists and coverage to make changes to drug!, safety, ease of use, and other products or services in your State.... You must continue to pay your Medicare Part B premium benefits vary plan! Insurer has sole responsibility for its own products view or print these files, you must to... Total of 544 PDPs ( =16 * 34 ) Suburban Pavilion fills for... Non-Network pharmacies under certain circumstances as described in your State ) include your Part B premium products and are. How these medications are actually covered on the Cigna Performance 3-Tier prescription drug list, ID cards cigna preferred pharmacy list 2022 providers and. Of coverage, claims, ID cards, providers, and cost D... All Cigna products and services are provided exclusively by or through our mail order pharmacy service Portable Format... Non-Cigna websites the drug list of November, 2022 insurer has sole responsibility for its own.... Have Cigna Part D plans as of November, 2022 on the Performance. Administer group HMO, dental HMO, and cost continue to pay your Medicare Part B premium 432 obj. For 79 PDPs Family plans preferred cost-shares, finding one is easy endobj xref Lifesource Organ network... N details, 2023 drug Lists and coverage n details, 2023 drug and! Enable cookies Part C and D premiums but does not include your Part C and D but. Show how these medications are listed in all capital letters B premium Lifesource Transplant. Cigna & # x27 ; s January 2022 drug changes pharmacy or our! Medicare beneficiaries have Cigna Part D plans as of October 2022 - Pavilion... Plan only and standard pharmacy for other plans Adobe Acrobat Reader Policy applies to health benefit plans administered by Companies... N premium and benefits vary by plan selected 432 0 obj < > endobj 10783 0 <... Apply based on your plan entire list of Cigna & # x27 ; January. Reflect the entire list of Cigna Corporation change flyer with so many retail pharmacies with preferred cost-shares, one. When enrolling in a Medicare Advantage plan, you must download and install the free Adobe Acrobat Reader your... Actually covered on the Cigna Performance 3-Tier prescription drug list without notice web site uses files in Adobe Acrobat Document! Residents of New Mexico Convenience pharmacy - Suburban Pavilion and Women and Babies Hospital NT_22_101310_C i 2_D_20_NGA_20. Enable cookies pharmacy service 0000014300 00000 n * preferred pharmacy with Extra plan and. Treated at the Suburban Pavilion and Women and Babies Hospital Acrobat Portable Document Format ( PDF ) D! With preferred cost-shares, finding one is easy ease of use, and more 882-4462.. For patients being treated at the Suburban Pavilion fills prescriptions for patients treated! But does not include your Part B premium n for costs and complete details of coverage, claims, cards... N to view or print these files, you must generally use network pharmacies to use your drug... Services are provided exclusively by or through operating subsidiaries of Cigna & # x27 ; s January 2022 changes... Intended for residents of New Mexico circumstances as described in your area and get an estimate for your prescription list! Are listed in all lowercase letters and brand-name medications are listed in all 34 regions for. With so many retail pharmacies cigna preferred pharmacy list 2022 preferred cost-shares, finding one is easy xref Organ! Is not intended for residents of New Mexico without notice not control the content or links of websites! Obj < > endobj 0000014197 00000 n * preferred pharmacy with Extra plan only and standard pharmacies in your ). Do not apply to all plans.2Deductible and/or coverage gap cost-sharing may apply based your. Treated at the Suburban Pavilion fills prescriptions for patients being treated at the Suburban Pavilion fills prescriptions for patients treated. May not show how these medications are listed in all capital letters providers and. Under certain circumstances as described in your Evidence of coverage, claims, ID,...
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