Cigna Standard 4-Tier Prescription Drug List

No cost-share preventive medications have a plus sign (+) next to them Health care reform under the Patient Protection and Affordable Care Act (PPACA) requires plans to cover certain preventive medications and products at 100%, or no cost-share ($0), to you. In this drug list, these medications have a plus sign (+) next to them. Some plans may cover certain non-covered medications Plans can choose to offer coverage of certain medications, products and/or drug classes that aren’t typically covered. In this drug list, these medications/products have a caret (^) next to them. Log in to the myCigna App or myCigna.com to see if your plan covers them. How to find your medication First, look for your condition in the alphabetical list below. Then, go to that page to see the covered medications available to treat the condition.

Condition

Page

Condition

Page

GASTROINTESTINAL/HEARTBURN

12 12

ALLERGY/NASAL SPRAYS

6 6 6 6

HORMONAL AGENTS

ALZHEIMER’S DISEASE

INFECTIONS INFERTILITY

12, 13

ANXIETY/DEPRESSION/BIPOLAR DISORDER

13 13

ASTHMA/COPD/RESPIRATORY

MISCELLANEOUS

ATTENTION DEFICIT HYPERACTIVITY DISORDER BLOOD PRESSURE/HEART MEDICATIONS

6, 7

NUTRITIONAL/DIETARY

13, 14

7 7 7

OSTEOPOROSIS PRODUCTS

14 14 14 14 14 15 15 15 15 15

BLOOD THINNERS/ANTI-CLOTTING

PAIN RELIEF AND INFLAMMATORY DISEASE

PARKINSON’S DISEASE

CANCER

SCHIZOPHRENIA/ANTI-PSYCHOTICS

CHOLESTEROL MEDICATIONS

7, 8

SEIZURE DISORDERS SKIN CONDITIONS

CONTRACEPTION PRODUCTS

8-10

COUGH/COLD MEDICATIONS

10 10

SLEEP DISORDERS/SEDATIVES

DENTAL PRODUCTS

SMOKING CESSATION

DIABETES

10, 11

SUBSTANCE ABUSE

DIURETICS

11 11 11

URINARY TRACT CONDITIONS

EAR MEDICATIONS

VACCINES

15, 16

ERECTILE DYSFUNCTION

WEIGHT MANAGEMENT

16

EYE CONDITIONS

11, 12

FEMININE PRODUCTS

12

5

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