Prescripton Drugs
SELECT YOUR LOCATION:
Coverage
Prescription drug coverage is included with each medical plan.
The amount you pay for prescriptions depends upon:
- Your medical plan
- The type of prescription you need
- Where you get your prescription filled
| Location | Supply | Type of drug | Cigna Open Access (In-network) | Cigna Open Access (Out-of-network)* | Cigna Consumer Health (In-network) | Cigna Consumer Health (Out-of-network)* |
|---|---|---|---|---|---|---|
| Retail Pharmacy | 30 day supply | Generic | $5 | $5 plus 40% | 20% after deductible | 50% after deductible |
| Retail Pharmacy | 30 day supply | Brand | $40 | $40 plus 40% | 20% after deductible | 50% after deductible |
| Retail Pharmacy | 30 day supply | Non-formulary brand | $60 | $60 plus 40% | 20% after deductible | 50% after deductible |
| Retail Pharmacy/Home Delivery | 90 day supply* | Generic | $10 | Not covered | 20% after deductible | Not covered |
| Retail Pharmacy/Home Delivery | 90 day supply* | Brand | $80 | Not covered | 20% after deductible | Not covered |
| Retail Pharmacy/Home Delivery | 90 day supply* | Non-formulary brand | $120 | Not covered | 20% after deductible | Not covered |
* Members must fill maintenance medications with a 90-day supply from CVS Caremark Retail-90 pharmacies or through home delivery to be covered.
The biggest difference:
- Open Access Health Plan: You pay a copay (a fixed dollar amount).
- Consumer Health Plan: You pay coinsurance (a percentage of the cost) after meeting your deductible. Tip for HDHP members: You can use your HSA funds to pay for prescriptions.
Specialty Prescription Drugs
Get access to specialty medications for chronic, complex conditions from our partner, Accredo, one of the leading specialty pharmacies in the United States.
Visit cigna.com/specialty or call 877-826-7657 to talk with an Accredo representative.
Get Prescriptions Delivered
Get 90-day prescriptions through participating retail pharmacies or Cigna Home Delivery Pharmacy for added convenience and potential savings.
Switch prescriptions online
If your medication is eligible for home delivery, log in to myCigna and click Switch Today, then Add to Cart to place your order and electronically transfer your prescriptions from your retail pharmacy to Express Scripts Pharmacy for home delivery.
Ask your provider
Call your doctor's office and ask them to send a 90-day prescription (with refills) electronically to Express Scripts Home Delivery.
Call Express Scripts Pharmacy
Call 800-835-3784, and Express Scripts Pharmacy can contact your provider to get your prescription(s). Have your ID card, provider contact information, and medication name(s) handy.
Step-Therapy
Some medications require you to try a lower-cost alternative, such as a generic drug, before coverage is approved for a higher-cost medication.
Visit cigna.com for a list of prescription drugs.