CIGNA Medicare Select Plus Rx (HMO) (AZ only) Drug List/Formulary

Our formulary is a list of covered drugs selected by CIGNA in consultation with a team of health care professionals, which represents the prescription therapies believed to be a necessary part of a quality treatment program.

The CIGNA Medicare Select Plus Rx drug list may change during the year. CIGNA will post a notice on this site at least 60 days before removing a Part D drug from the drug list or making any changes in the preferred or tier cost-sharing status of a covered Part D drug.

CIGNA Medicare Select Plus Rx covers both brand name and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

Please Note: The following information is not intended for individuals in group-sponsored plans. If you are in a group plan, please call the phone number on your CIGNA ID card or contact your plan administrator if you have questions.

Search the full drug list

1. Enter Prescription Drug Name
   


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Generally all medications on the drug list are available through mail order except when special circumstances or situations prohibit mailing a particular medication to your home.

View the complete formulary (drug list)

• 2012 CIGNA Medicare Select Plus Rx Comprehensive Formulary English | en Español (PDF)

View the partial drug list (most commonly used drugs)

• 2012 CIGNA Medicare Select Plus Rx Abridged Formulary English | en Español (PDF)

View the drug list changes

• 2012 Formulary Changes English | en Español (PDF)

View the prior authorization criteria

• 2012 CIGNA Medicare Select Plus Rx Formulary Prior Authorization Criteria (PDF)
• 2012 CIGNA Medicare Select Plus Rx Formulary BvsD Prior Authorization Criteria (PDF)

View the step therapy criteria

• 2012 CIGNA Medicare Select Plus Rx Formulary Step Therapy Criteria (PDF)

Exceptions to the CIGNA Medicare Select Formulary/Drug list

You can ask CIGNA Medicare Select Plus Rx to make an exception to our coverage rules. You should contact us to ask us for an initial coverage decision for drug list, tiering or utilization restriction exception. When doing this, you should submit a statement from your physician supporting your request.

For more information about requesting an exception to the list of covered drugs, please call Customer Service at 1-800-627-7534 (TTY: 1-800-987-8816), 7 days a week, 8 am- 8pm. Hours apply Monday - Friday, February 15 - October 14, 2012 and a voicemail system is available on weekends and holidays.

October 15, 2011 - February 14, 2012: 7 days a week, 8 am - 8 pm, Arizona time.

February 15 - October 14, 2012: Monday - Friday, 8 am - 8 pm Arizona time (a voicemail system is available on weekends and holidays).

Special circumstances

Covered Part D drugs are available in special circumstances, including illness while traveling outside of the CIGNA service area where there is no network pharmacy.

Under limited circumstances, you may obtain up to a 30-day supply of your prescription drug from out-of-network pharmacies. The following situations are the only times you will be able to obtain drugs from out-of-network pharmacies. For cost-sharing information regarding prescriptions filled at out-of-network pharmacies, consult your Evidence of Coverage.

• When you are traveling outside the CIGNA service area (within the United States) and you run out of or lose your prescription drug(s), or become ill and need a covered drug;
• When you cannot obtain an emergency or urgently needed covered prescription drug in a timely manner;
• When you reside in a long-term care facility and the contracted long-term care pharmacy does not participate in the CIGNA pharmacy network; or
• When you must fill a prescription for a covered drug, and that particular drug is not regularly stocked at accessible network or retail pharmacies.

Note: Drugs covered under Medicare Part B may not be obtained from an out-of-network pharmacy.

2012 Transitional Benefit Policy English | en Español (PDF)

What if I take multiple drugs for a chronic illness?

Learn more about our Medication Therapy Management Program.

As a CIGNA Medicare Select Plus Rx customer, you have the option of receiving your routine maintenance prescription medications through CIGNA Home Delivery Pharmacy.

Home delivery is designed especially for people who take prescription medications on an ongoing basis. This would include medications for allergies, arthritis, asthma, diabetes, heart conditions, high blood pressure, high cholesterol and many more.

For more information on CIGNA Home Delivery Pharmacy, call 1-877-252-6907, 24 hours a day, 7 days a week. TTY/TDD users please call 1-800-987-8816.

For more information

1-800-627-7534 (TTY: 1-800-987-8816)

October 15, 2011 - February 14, 2012: 7 days a week, 8 am - 8 pm, Arizona time.

February 15 - October 14, 2012: Monday - Friday, 8 am - 8 pm Arizona time (a voicemail system is available on weekends and holidays).