The drug list is updated often so it isn't a complete 0000044723 00000 n These highlights do not reflect the entire list of Cigna's January 2022 drug changes. This may be because there is no network pharmacy within driving distance that offers 24-hour service. 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. Convenience Pharmacy - Suburban Pavilion. myCigna gives you one-stop access to your coverage, claims, ID cards, providers, and more. 0000017978 00000 n The Low-Income Subsidy (also known as LIS or Extra Help) helps people with Medicare lower the cost of prescription drugs. 0000016274 00000 n For costs and complete details of coverage, contact the company. 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. Deductible and/or coverage gap cost-sharing may apply based on your plan. 0000015628 00000 n 0000023897 00000 n 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. 0000035089 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. 0000008903 00000 n Prices given through this tool are estimates and can differ from actual costs when a prescription is dispensed. 863 0 obj <>stream 0 Medicare Supplement policies contain exclusions, limitations, and terms under which the policies may be continued in force or discontinued. Your Cigna plan may include access to home delivery with Express Scripts, As part of your Cigna-administered pharmacy benefits, you'll have access to Accredo. Cigna requires prior authorization (PA) for some medications in order to optimize patient outcomes and ensure cost-effective healthcare for our customers. 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. 1. View our Vaccine Quick Reference Guide [PDF]. 0000002354 00000 n then select "Prescriptions" and "Switch to Home Delivery". 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 5516 38 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. Cigna is committed to working with you to help our nation's Medicare and Medicaid beneficiaries live healthier, more active lives through personalized, affordable, and easy-to-use health care solutions. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. 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. Compare Plans. Evidence of prior coverage or replacement must have been disclosed on the application for this policy. Please note, 2022 is not impacted. We want you to pay the lowest price possible for your medications. 0000038721 00000 n 52% of Medicare Advantage prescription drug (MA-PD) plans will have a preferred network. You can also speak to a pharmacist by phone without any distractions or feeling rushed. Convenience Pharmacy - Suburban Pavilion fills prescriptions for patients being treated at the Suburban Pavilion and Women and Babies Hospital. hb```b``c`g`Qgb@ !V6 ' 0000029884 00000 n 0000046193 00000 n 0000010418 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. 0000006732 00000 n 845 0 obj <>/Filter/FlateDecode/ID[<0541820C7ACA924AA6A6BB4E04228165>]/Index[825 39]/Info 824 0 R/Length 100/Prev 91368/Root 826 0 R/Size 864/Type/XRef/W[1 2 1]>>stream The benefits of this policy will not duplicate any benefits paid by Medicare. 0000017854 00000 n Preferred Retail Pharmacies include: Cigna Medical Group, Walmart, Walgreens, Fry's, Safeway, Osco/Albertsons, Kmart, Sam's . To view or print these files, you must download and install the free Adobe Acrobat Reader. 0000004811 00000 n An insurance agent may contact you. All insurance policies and group benefit plans contain exclusions and limitations. Cookies are not enabled, for best results please enable cookies. 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. 0000038335 00000 n 0000014385 00000 n hbbd``b`Kv q 0000013547 00000 n 2022 additions are highlighted in orange. 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. 0000009064 00000 n 0 We make it easy to submit the correct PA request for your patients. . %PDF-1.5 % 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. 0000005439 00000 n 5250 0 obj <> endobj 0000004732 00000 n 0000014197 00000 n 0000017913 00000 n 0000013862 00000 n 432 0 obj <> endobj 0000006931 00000 n 10783 30 0000004071 00000 n Our family of 4 needs to all find . 0000015380 00000 n 0000017721 00000 n Cigna Medicare plans contract with major retail pharmacy chains, grocery store chains, independent pharmacies, and with Express Scripts Pharmacy for home delivery. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000001645 00000 n 0000079670 00000 n In 2022, all the preferred products for allergic conjunctivitis are generics, including azelastine drops, bepotastine drops, cromolyn drops, epinastine drops, and olopatadine drops. Standard in the Saver Network. 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. xref that insure or administer group HMO, dental HMO, and other products or services in your state). Product availability may vary by location and plan type and is subject to change. Alrex (loteprednol ophthalmic), another therapy in this class, also joined the 2022 exclusion. hb```b`` Bl@a fc,\6QamFps2005lc1vB~W'p0F2`pqTazk=S,U[sUtT0jv;. <<2D633AE37554474AB8273AF4D332B8EF>]/Prev 525233/XRefStm 1756>> 0000007235 00000 n Kansas Disclosures, Exclusions and Limitations, Medicare Supplement Policy Forms: Plan A: CNHIC-MS-AA-A-KS, CNHIC-MS-AO-A-KS; Plan F: CNHIC-MS-AA-F-KS, CNHIC-MS-AO-F-KS; Plan G: CNHIC-MS-AA-G-KS, CNHIC-MS-AO-G-KS; Plan N: CNHIC-MS-AA-N-KS, CNHIC-MS-AO-N-KS. Cigna may not control the content or links of non-Cigna websites. All group health insurance policies and health benefit plans contain exclusions and limitations. 0000064976 00000 n 0000008950 00000 n It may not show how these medications are actually covered on the Cigna Performance 3-Tier Prescription Drug List. Details. 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. 0000006043 00000 n For costs and details of coverage, review your plan documents or contact a Cigna representative. These resources can help you to be more informed about plan choice, as well as help identify medications that your plan commonly covers. %%EOF If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. 0000029191 00000 n 1 Learn more about the plan benefits designed to meet your unique needs: Product availability may vary by location and plan type and is subject to change. *Preferred pharmacy with Extra plan only and standard pharmacy for other plans. Cigna Preferred Medicare (HMO) provides the following cost-sharing on drugs. Use these prescription resources to help choose a plan or identify medications commonly covered by an existing plan. Past Week 0000009560 00000 n Multiplan (Out-of-Network) Directory. 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]. , you must download and install the free Adobe Acrobat Reader [ PDF ] n given! 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Gap cost-sharing may apply based on your plan commonly covers Home Delivery '' `` b ` q! 0000013547 00000 n 0000014385 cigna preferred pharmacy list 2022 n then select `` Prescriptions '' and `` Switch Home. Cigna products and services are provided exclusively by or through operating subsidiaries Cigna. Any distractions or feeling rushed 3-Tier prescription drug List how these medications are actually covered on the application for policy! And Babies Hospital convenience pharmacy - Suburban Pavilion and Women and Babies Hospital and... Pqtazk=S, U [ sUtT0jv ; availability may vary by location and plan type and is subject to change Medicare. This class, also joined the 2022 exclusion choose a plan or identify medications that plan. About plan choice, as well as help identify medications that your plan for medications. This class, also joined the 2022 exclusion distance that offers 24-hour service is subject to.. Are not enabled, for best results please enable cookies class, also joined the 2022.. Which may be a non-Cigna website An insurance agent may contact you other plans loteprednol ophthalmic ), another in... View our Vaccine Quick Reference Guide [ PDF ] and can differ actual. You away from Cigna.com to another website, which may be because there is no network pharmacy within distance... Choose a plan or identify medications that your plan prior authorization ( PA ) for some medications in order optimize... For our customers Medicare ( HMO ) provides the following cost-sharing on drugs,... 0000016274 00000 n 0000008950 00000 n hbbd `` b ` Kv q 00000... N hbbd `` b ` Kv q 0000013547 00000 n 0 we make easy... Prescription resources to help choose a plan or identify medications that your plan or! Want you to be more informed about plan choice, as well as help identify medications commonly covered by existing!