Information for Pharmacists

• CIGNA Medicare Rx^® (PDP)
• CIGNA Medicare Select Plus Rx^® (HMO)
• Best Available Evidence (BAE)

Pharmacists will find helpful information below:

CIGNA Medicare Rx

Proof of CIGNA Medicare Rx prescription drug coverage

There are three valid forms of benefit coverage identification:

• CIGNA Medicare Rx ID card*
• Completed Enrollment Acknowledgement Letter
• CMS Confirmation Letter

Each contains the RxBIN and the RxPCN which are required to transmit claims to Argus Health Systems for claims processing. Please use the following information.

• RxBIN 012353
• RxPCN 03490000

CIGNA Medicare Rx individuals have been instructed to provide one form of benefit identification at the pharmacy to obtain their prescription medication. If a CIGNA Medicare Rx individual requests a prescription fill and does not have an ID card or letter, please contact Customer Service at 1-800-222-6700 to confirm coverage (TTY/TTD users should call 1-800-322-1451). CIGNA Medicare Rx representatives are available 8 am - 8 pm local time, 7 days a week.

The CIGNA Pharmacy Service Center phone number is 1-800-558-9363.

Effective 1/1/2012, to avoid a Point-of-Sale rejection, Pharmacists will be required to enter all 11 characters of an individual's identification number from their CIGNA ID card. The ID number begins with the letter U, which will be the first of the 11 characters. This will be followed up by the 8 digit Alternate Member Identifier (AMI), then the 2 digit person code, typically 01. Please do not include the space located between the last digit of the AMI and the first digit of the person code. The U + 8 digit AMI + 2 digit person code = 11 characters.

CIGNA Medicare Select Plus Rx - Arizona Only

There are three valid forms of benefit coverage identification:

• CIGNA Medicare Select Plus Rx ID card*
• Completed Enrollment Acknowledgement Letter
• CMS Confirmation Letter

Each contains the RxBIN and the RxPCN which are required to transmit claims to Argus Health Systems for claims processing. Please use the following information:

• RxBIN 012353
• RxPCN 03500000

Individuals have been instructed to provide one form of benefit coverage identification at the pharmacy to obtain their prescription medication. If an individual requests a prescription fill and does not have an ID card or letter, please contact Customer Service at 1-800-627-7534. Representatives are available 8 am - 8 pm, Monday - Friday, to confirm insurance coverage (TTY/TDD users should call 1-800-987-8816).

The CIGNA Pharmacy Service Center phone number is 1-800-558-9363.

Effective 1/1/2012, to avoid a Point-of-Sale rejection, Pharmacists will be required to enter all 11 characters of an individual's identification number from their CIGNA ID card. The ID number begins with the letter U, which will be the first of the 11 characters. This will be followed up by the 8 digit Alternate Member Identifier (AMI), then the 2 digit person code, typically 01. Please do not include the space located between the last digit of the AMI and the first digit of the person code. The U + 8 digit AMI + 2 digit person code = 11 characters.

Best Available Evidence (BAE)

If you have questions on the CMS Guidance regarding Best Available Evidence, please see the CMS website.