Your Partner in Pharmacy Excellence

About Cigna Pharmacy Management

Cigna Pharmacy Management represents one of the nation's leading pharmacy benefit management services, designed to help individuals and organizations optimize their prescription drug benefits. With decades of experience in healthcare and pharmacy services, Cigna combines clinical expertise with innovative technology to deliver solutions that improve medication adherence, control costs, and ultimately lead to better health outcomes.

Our holistic approach to pharmacy management integrates with your overall health plan, ensuring that prescription drug coverage works seamlessly with other healthcare services. By focusing on the whole person, not just the prescription, we can identify potential drug interactions, suggest appropriate alternatives, and help members maintain their medication regimens for better health.

Cigna's vast network of pharmacies includes over 60,000 retail locations nationwide, along with convenient home delivery options. This extensive access ensures members can obtain their prescribed medications in ways that fit their lifestyles, ultimately supporting better adherence to treatment plans.

Our Services

Cigna Pharmacy Management offers a comprehensive suite of services designed to address the diverse needs of our members, employer groups, and healthcare providers. These services are built upon a foundation of clinical excellence, innovative technology, and a commitment to improving health outcomes.

Retail Pharmacy Network

Our extensive retail pharmacy network includes over 60,000 participating pharmacies across the United States, including major chains and independent pharmacies. This broad access ensures convenient locations for members to fill prescriptions and receive face-to-face pharmacist consultations. Members can use our pharmacy locator tools to find participating pharmacies that offer their specific benefits and extended services like vaccinations and health screenings.

Home Delivery Pharmacy

For ultimate convenience, our home delivery pharmacy service allows members to receive maintenance medications directly at their door through mail order. This option is particularly beneficial for those taking regular medications for chronic conditions. Home delivery often comes with cost advantages, including lower copays for 90-day supplies, and includes free standard shipping. Our automated refill reminder system helps ensure members never miss important medications.

Specialty Pharmacy

Cigna's Specialty Pharmacy provides expert support for complex conditions requiring specialty medications. These medications often treat conditions like cancer, multiple sclerosis, rheumatoid arthritis, and other serious health issues. Our specialized pharmacists and care coordinators understand these complex treatments and provide personalized guidance including injection training, side effect management, and coordination with prescribers.

Clinical Management Programs

Our clinical programs focus on optimizing medication use and improving health outcomes. These include:

• Medication Therapy Management: One-on-one consultations with pharmacists to review all medications, identify potential issues, and develop plans to optimize therapy.
• Step Therapy: Programs that promote use of cost-effective, clinically appropriate medications first, with provisions to move to alternatives if needed.
• Prior Authorization: Review processes ensuring medications are used appropriately according to clinical guidelines.
• Quantity Limits: Safety measures to prevent unnecessary quantities of medications that could be harmful if misused.
• Gap in Therapy: Outreach to members who may have discontinued important medications, providing education and support to encourage adherence.

Digital Pharmacy Solutions

Our digital ecosystem empowers members with tools to manage their pharmacy benefits effectively:

• MyCigna Pharmacy portal for comprehensive prescription management
• Mobile app features including digital ID cards and prescription histories
• Real-time pricing tools to check medication costs before filling prescriptions
• Prescription transfer capabilities between pharmacies
• Automatic refill setup and reminders
• Drug interaction checkers and educational resources

Benefits for Different Stakeholders

For Members:

Cigna Pharmacy Management provides members with access to affordable medications, convenience, and expert guidance. Members benefit from our negotiated pricing, which helps keep out-of-pocket costs manageable. Our various retail options, home delivery, and digital tools ensure obtaining prescriptions fits their lifestyle. Clinical support programs help members understand their medications, manage side effects, and stay on track with treatment plans. Additionally, our transparency tools allow members to compare costs and find the most affordable options for their prescriptions.

For Employers:

Organizations partnering with Cigna gain access to robust pharmacy benefit management that helps control healthcare costs while maintaining quality coverage. Our reporting and analytics provide insights into prescription drug trends, enabling data-driven decisions about benefit design. Our clinical programs improve adherence and health outcomes, which can reduce overall healthcare costs beyond pharmacy spend. Flexible plan options allow employers to design pharmacy benefits that align with their organizational goals and budget considerations.

For Healthcare Providers:

Cigna Pharmacy Management works collaboratively with healthcare providers to support optimal prescribing decisions. Our formulary information, prior authorization processes, and clinical pharmacists are resources that help providers deliver quality care. Streamlined electronic prescribing integration ensures providers can efficiently prescribe medications while checking coverage and pharmacy preferences. Our focus on medication adherence supports providers' treatment plans by helping patients maintain their medication regimens.

Cost Management Approach

Cigna Pharmacy Management employs a multifaceted approach to managing prescription drug costs without sacrificing quality of care. Our strategies focus on appropriate utilization, favorable pricing, and clinical optimization.

Strategic Purchasing:

Our significant market position allows us to negotiate favorable pricing with pharmaceutical manufacturers and pharmacies. These negotiated rebates and discounts help make medications more affordable for members and cost-effective for plans.

Formulary Management:

Our formularies are developed by pharmacists and physicians based on clinical evidence, safety considerations, and cost-effectiveness. By encouraging use of medications within the formulary, we can provide high-quality care at more affordable prices. Our formularies include multiple options within therapeutic classes, ensuring that prescribers have choices to meet individual patient needs.

Generic and Biosimilar Utilization:

When appropriate, we encourage the use of generic medications and biosimilars as cost-effective alternatives to brand-name drugs. These medications contain the same active ingredients and have demonstrated therapeutic equivalence while typically being more affordable.

Utilization Management:

Our utilization management programs, including prior authorization and step therapy, ensure medications are used appropriately according to clinical guidelines. These programs help prevent inappropriate prescribing while maintaining access to necessary therapies through exception processes.

Contact Us

For more information about Cigna Pharmacy Management services, please contact our team. We are available to discuss your pharmacy benefit needs and how our solutions can support your healthcare goals.

Phone: 1-800-CIGNA24 (1-800-244-6224)

Email: pharmacy.inquiries@cigna.com

Hours: Monday through Friday, 8:00 AM to 8:00 PM ET

For urgent pharmacy assistance, our customer service team is available 24/7, 365 days a year.