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January 2014
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. Please note: 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 www.informedonreform.com or Cigna.com and look
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 Questions?
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 visit myCigna.com 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 Drug Name
Drug Name
Drug Name
Pulmozyme*
* 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.

Source: https://s3-us-west-2.amazonaws.com/cohealthop/public/provider/Colorado_HealthOP_Specialty_Drug_List_All_Plans.pdf