mbraun benefits summary-Updated 8-19

PREVENTIVE GENERICS AND PREFERRED BRANDS DRUG LIST

Starting January 1, 2021

Preventive medications are used to prevent certain conditions from developing, or to prevent a condition from coming back. These conditions include, but are not limited to, asthma, depression, diabetes, heart attack, high blood pressure, high cholesterol, osteoporosis, prenatal nutrient

deficiency and stroke. About this drug list.

About your cost-share for preventive medications.

This document shows the most commonly prescribed preventive generic and preferred brand medications covered as of January 1, 2021. 1,2 All of these medications are approved by the U.S. Food and Drug Administration (FDA). The Preventive Generics and Preferred Brands Drug List is updated often so it’s important to know that this is not a complete list of the medications your plan covers. Not all plans consider all of the conditions and medications listed in this document to be part of the preventive program. Log in to the myCigna App, or check your plan materials, to see which medications your plan covers as preventive. Here’s some helpful information about this drug list: › Medications are listed alphabetically by the condition they prevent. › Brand name medications are capitalized and generic medications are lowercase. › Some brand name preventive medications have a

Not all plans offer the same cost-share for their preventive program. For example, some plans may: › Require you to pay a copay, coinsurance (the percentage you pay after you meet your deductible) and/or deductible (the amount you pay before your plan starts to pay) for a preventive generic medication. › Cover preventive generic medications at 100%, or no additional cost ($0) to you. Log into the myCigna App or website, or check your plan materials, to learn more about the medications included in your plan’s preventive program. You can also click on “Price a Medication” to see how much your medication may cost you at the different pharmacies in your plan’s network. 3

Go generic and save. Ask your doctor if a preventive generic medication may be right for you. Generics have the same strength and active ingredients as brand name medications, but often cost much less – in some cases, up to 85% less. 4

generic equivalent. For these medications, the generic will be listed in parenthesis next to the brand name.

“Preventive medications”don’t include medications covered at 100%, or no cost ($0) to you, under the Patient Protection and Affordable Care Act (PPACA)’s preventive services coverage requirement.

Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, or their affiliates. 936807 b Gen&PB for Value/Adv 09/20

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