Cigna Standard 4-Tier Prescription Drug List

Cigna Healthcare Standard 4-Tier Prescription Drug List Injectable specialty medications are covered on Tier 4 (listed on pages 20-23).

What’s inside?

About this drug list

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How to read this drug list

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How to find your medication

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Injectable specialty medications

20

Frequently Asked Questions (FAQs)

24

Exclusions and limitations for coverage

28

View the drug list online This document was last updated on 08/01/2023.* You can go online to see the most up-to-date list of medications your plan covers. myCigna ® App 1 or myCigna.com ® . Click on the Find Care & Costs tab. Then select Price a Medication, and type in your medication name.

Cigna.com/PDL. Scroll down until you see a pdf of the Cigna Standard 4-Tier Prescription Drug List (injectable 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: 08/01/2023, for changes starting 01/01/2024

Next planned update: 03/01/2024, for changes starting 07/01/2024

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