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

13

AIDS/HIV

6

HORMONAL AGENTS

13, 14

ALLERGY/NASAL SPRAYS

6

INFECTIONS

14, 15

ALZHEIMER’S DISEASE

6

INFERTILITY

15

ANXIETY/DEPRESSION/ BIPOLAR DISORDER

6

MISCELLANEOUS

15

ASTHMA/COPD/RESPIRATORY

6, 7

MULTIPLE SCLEROSIS

15

ATTENTION DEFICIT HYPERACTIVITY DISORDER

7

NUTRITIONAL/DIETARY

15, 16

OSTEOPOROSIS PRODUCTS

16

BLOOD MODIFIERS/BLEEDING DISORDERS

7

PAIN RELIEF AND INFLAMMATORY DISEASE

16, 17

BLOOD PRESSURE/HEART MEDICATIONS

7, 8

PARKINSON’S DISEASE

17

BLOOD THINNERS/ANTI-CLOTTING

8

SCHIZOPHRENIA/ANTI-PSYCHOTICS

17

CANCER

8

SEIZURE DISORDERS

17

CHOLESTEROL MEDICATIONS

8

SKIN CONDITIONS

17, 18

CONTRACEPTION PRODUCTS

9, 10

SLEEP DISORDERS/SEDATIVES

18

COUGH/COLD MEDICATIONS

10

SMOKING CESSATION

18

DENTAL PRODUCTS

10, 11

SUBSTANCE ABUSE

18

DIABETES

11, 12

TRANSPLANT MEDICATIONS

18

URINARY TRACT CONDITIONS

18, 19

DIURETICS

12

VACCINES

19

EAR MEDICATIONS

12

VITAMINS

19

ERECTILE DYSFUNCTION

12

WEIGHT MANAGEMENT

19

EYE CONDITIONS

12 , 13

FEMININE PRODUCTS

13

5

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