Pharmacy Coverage
Both medical plans offer pharmacy benefits through Cigna, our new pharmacy benefits manager. You may use a retail pharmacy for short-term use medication, and use home delivery for maintenance medication.
1 Out-of-network coinsurance varies by type of service. Please refer to plan SBC and plan documents.2 What you will pay after your deductible is met. 3 Copay waived if admitted.4 If you purchase a Preferred or Non-Preferred Brand Name drug when “Brand Medically Necessary” is not indicated on the prescription and a Generic equivalent is available, you will be required to pay the difference between the cost of the Generic and Preferred or Non-Preferred Brand Name drug plus the Preferred Brand Name copay (amount). If “Brand Medically Necessary” is written on the prescription, you will pay the Preferred or Non-Preferred Brand Name drug copay. 5 Step therapy and approval required.
Convenience
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Home delivery with Express Scripts Pharmacy.
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Thousands of retail pharmacies in the Cigna network.
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24/7 access to pharmacy coverage information and claims through myCigna.
Manage Your Home Delivery Prescription Offers
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Order prescriptions from your phone, tablet, or computer.
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Track and/or check the status of your order.
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Get emails/texts from Express Scripts about your medication(s).
Cigna Prescription Drug List
The Cigna Prescription Drug list divides covered generic and brand-name medications into tiers, or cost-share levels. Typically, the higher the tier, the more you will pay to fill the medication. Brand name medications are costly and are often prone to price increases compared to other similar medications. To help keep your costs down, ask your doctor about using a lower-cost generic (if available), or a preferred brand-name medication that can be used to treat the same condition.
Avoid Surprises at the Pharmacy
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Price a medication and search for lower-cost alternatives.
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See which medications your plan covers.
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Find an in-network pharmacy.
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Participate in a Cigna Medication Coaching Program.
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Get support for specialty medications.