Cigna Standard 4-Tier Prescription Drug List

Cigna Healthcare Standard 4-Tier Prescription Drug List Specialty medications are covered on Tier 4 (listed on pages 17-20).

What's Inside?

Page

About this drug list

3

How to read this drug list

3

How to find your medication

5

Specialty medications

17

Frequently Asked Questions (FAQs)

21

Exclusions and limitations for coverage

25

View your drug list online This document was last updated on 06/01/2024.* Go online to see the most up-to-date list of medications your plan covers. • myCigna ® App 1 or myCigna.com ® . Click on the Prescriptions tab and select Price a Medication from the dropdown menu. Then type in your medication name. • Cigna.com/PDL. Scroll down until you see a pdf of the Cigna Standard 4-Tier Prescription Drug List (all specialty medications covered on Tier 4) . Questions? • myCigna.com : Click to Chat - Monday-Friday, 9:00 am-8:00 pm EST. • By phone: Call the toll-free number on your Cigna Healthcare SM ID card. We’re here 24/7/365.

* Drug list created: originally created 01/01/2004

Last updated: 06/01/2024, for changes starting 07/01/2024

Next planned update: 09/01/2024, for changes starting 01/01/2025

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