Cigna Pharmacy Management
Cigna-HealthSpring Medicare and Medicaid:
|Cigna Medicare PDP
Cigna Medicare MAPD
PLEASE DO NOT turn the customer away if you receive a rejected claim. Ask the customer if they have a new ID card or contact Catamaran at 888.625.5686.
Medicare Contracting Documents
For Non-Preferred contracting information, please contact Catamaran at: Provider.Contracting@CatamaranRx.com
For Preferred Medicare contracting information, please contact Cigna at: PharmacyNetworkOperations@cigna.com
- Cigna Preferred Medicare Part D Program Requirements and Manual
- Community Retail Pharmacy Network Cigna Requirements
Optum MAC Appeal
Please complete the form and fax to 866.285.8652
OPTUM MAC Appeal Form\ - For Cigna Non-Preferred pharmacies ONLY - Direct contract with Optum
Catamaran Payer Sheet (Medicare):
Do not delete the old RxBIN (600428)
Below are the new and existing BIN and PCN numbers which can be found on the new ID cards for Cigna Commercial customers:
|Cigna Pharmacy Services (Commercial)||Ø17Ø1Ø||Ø215ØØØØ||6ØØ428||Ø215ØØØØ|
|Cigna Great West Commercial||Ø17Ø1Ø||Ø518ØØØØ||6ØØ428||Ø518ØØØØ|
|Cigna Payer Solutions||Ø17Ø1Ø||Ø519ØØØØ||6ØØ428||Ø519ØØØØ|
PLEASE DO NOT turn the customer away if you receive a rejected claim. Ask the customer if they have a new ID card or contact Cigna at 800.244.6224.
Argus Payer Sheets (Commercial)
Medicare Part D Standardized Pharmacy Notice and Instructions
CMS requires that all pharmacies provide Medicare members with the Notice of Coverage Rights upon the following NCPDP notifications:
- NCPDP Approval Code 018
- NCPDP Reject Code 569
Medicare Part D
- Long Term Care Audit Guideline
- Pharmacy Audit Questions
- Audit Program Recoveries
- Pharmacy Communications FAQs
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