|Growth Hormones:||Humatrope Saizen||Form|
|Hepatitis C Antivirals:||Pegasys Peg-Intron||Form|
|Infertility Agents:||Follistim AQ|
|Multiple Sclerosis Agents:||Avonex Copaxone Rebif||Form|
|Biologic Immunomodulator Agents:||Enbrel Humira||Form|
- It is the decision of the prescribing physician in the exercise of his/her independent clinical judgment to determine which medication to prescribe. Coverage is not limited to the preferred drug.
- Cigna may receive payments from manufacturers whose medications are included on the Cigna Preferred Specialty Drug List. These payments may or may not be shared with the member's benefit plan dependent on the contractual arrangement between the plan and Cigna.
- Depending upon plan design, market conditions, the extent to which manufacturers' payments are shared with the member's benefit plan, and other factors as of the date of service, the preferred medication may or may not represent the lowest cost medication within the therapeutic class for the member and/or the benefit plan.
- Cigna reserves the right to make changes to this Preferred Specialty Drug List without notice.
"Cigna HealthCare" refers to various operating subsidiaries of Cigna Corporation. Products and services are provided by these subsidiaries and not by Cigna Corporation. These subsidiaries include Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., Intracorp, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. In Arizona, HMO plans are offered by Cigna HealthCare of Arizona, Inc. In California, HMO plans are offered by Cigna HealthCare of California, Inc. In Virginia, HMO plans are offered by Cigna HealthCare of Virginia, Inc. and Cigna HealthCare Mid-Atlantic, Inc. In North Carolina, HMO plans are offered by Cigna HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company.