Specialty medications are used to treat complex conditions like multiple sclerosis, hepatitis C and rheumatoid arthritis. Although some are oral medications, the majority of specialty drugs are injected and may require special handling (e.g. refrigeration). As part of your pharmacy benefits plan, you have access to Cigna Specialty Pharmacy Services to deliver these medications.
How it works
pharmacy is not able to reach you, they’ll leave a message
When your doctor prescribes a specialty medication,
for you to call them back. The pharmacy can’t deliver the
they’ll call in or fax the prescription to:
medications without your approval, so delivery will be delayed until you reply.
Cigna Specialty Pharmacy Services: 800.351.3606 (phone)
If you need to fill your prescription right away, you may
be able to fill your prescription at a local network retail pharmacy. However, you’ll only get up to a 30-day supply
Cigna Specialty Pharmacy Services creates a personalized
and must fill the rest of your prescription through Cigna
experience that educates and motivates each customer to
Specialty Pharmacy Services. If your plan offers out-of-
become active, accountable and confident. We offer the
network coverage, you can get your prescription at an
tools to connect and engage you along your health care
out-of-network pharmacy, but your out-of-pocket cost
journey. Our services include 24-hour access to nurses
and pharmacists, education about your prescription medications and refill reminders.
Some medications listed here may need to
be obtained through your doctor’s office or other medical
Once your prescription order is received and processed,
facility. In these cases, your medications will be covered
we’ll call you to schedule a date and time for delivery.
under your medical benefit instead of your pharmacy
Orders will be delivered to any address you choose for
benefit. This will affect the amount you pay out-of-pocket.
delivery (e.g., home, office, doctor’s office).
Check your plan documents for more information.
For all proactive refills or any orders over $4,000, delivery arrangements need to be made and confirmed with our pharmacy before we can send them to you. If the
Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company.
Health care reform and you
prescription from your doctor to process the claim under
The Patient Protection and Affordable Care Act (PPACA),
your pharmacy plan (including OTC medications).
commonly referred to as “health care reform,” was signed
To get the most current information, visit
into law on March 23, 2010. This important legislation will
result in changes to every American’s health coverage.
for the “Informed on Reform” link.
Some of the changes took effect in 2010, and most of the law’s effects will be felt by 2014. Cigna will comply
with all provisions of the law including those that impact
Below is a list of medications that must be filled at one of
your pharmacy coverage plan. For example, depending
the two specialty pharmacies above to be covered under
upon the final government regulations, coverage for
your pharmacy benefit. For more information, you can
medications that have not traditionally been included in
or call customer service using the
pharmacy plans, such as specific over-the-counter (OTC)
number on the back of your ID card at any time , and we’ll
medications, may be made available at no cost share
to you. As with all covered medications, we require a
* These medications must be obtained from a preferred specialty pharmacy.
Only your first prescription can be obtained at a network retail pharmacy.
All other refills must be obtained through a preferred specialty pharmacy. To
maximize your benefits, all other medications are available through one of our
specialty pharmacies, at a network retail pharmacy or through your physician’s
^ Check your plan materials to determine if this Growth Hormone medication is
“Cigna,” the “Tree of Life” logo, and “GO YOU” are registered service marks, and “Cigna Home Delivery Pharmacy” is a service mark of Cigna Intellectual Property, Inc.,
licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries and not by Cigna
Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Tel-Drug, Inc., Tel-Drug of
Pennsylvania, L.L.C., and HMO subsidiaries of Cigna Health Corporation. “Cigna Specialty Pharmacy Services” refers to the specialty drug division of Tel-Drug, Inc. and
Tel-Drug of Pennsylvania, L.L.C., doing business as Cigna Home Delivery Pharmacy. All models are used for illustrative purposes only.
827113 k 12/13 2013 Cigna. Some content provided under license.
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