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  • Home Employers Integrated Pharmacy Benefits for Employers Specialty Pharmacy Management for Employers

    Specialty Pharmacy Management Across Benefits

    Lowering costs and offering better support for those with complex conditions.

    Building a new benefits package?

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    Controlling Costs with Whole-Person Support

    At Cigna HealthcareSM*, we know managing specialty pharmacy costs goes well beyond just the unit cost of a drug. From site of care, specialists, hospitalizations, comorbidities, and mental health conditions, supporting our customers and clients holistically is critical to help ensure the best health outcomes and lowest total medical costs.

    Managing Spend for the Costliest Conditions

    With integrated medical, pharmacy, and behavioral benefits we use advanced analytics, real-time data, and a whole-person view to provide proactive solutions that support the body and mind, driving better health and financial outcomes.

    • Lowest net cost strategy and a focus on biosimilar medications to manage high-cost specialty drugs.

    • Medical pharmacy cost management through site of care, buy and bill, and aggressive doctor fee schedules.

    • Optimized utilization of manufacturer copay assistance programs improves customer choice and adherence.

    • Shared savings opportunities on select medications for customers when they switch to lower-cost alternatives.

    Support for Patients with the Most Complex Conditions

    With integrated benefits and consistent coverage policies across both medical and pharmacy, we provide our customers with personalized, proactive support to help them achieve their best health through:

    • 98% access to limited and exclusive specialty drugs and therapies, ensuring availability to medications and continuity of care should customers have a change in treatment.1
    • Dedicated copay assistance teams. Accredo® helped customers connect with $2.3 billion in financial assistance in 2022.2
    • Access to over 500 condition-focused pharmacists and 600 home infusion nurses, across 15 specialty Accredo Therapeutic Resource Centers (TRCs)3, each with extensive training and experience in specific disease states and medications.

    Cigna Pathwell Specialty®

    Cigna Pathwell Specialty puts employees with high-cost conditions on the right path to wellness while helping manage your plan's specialty drug spend across the medical and pharmacy benefits.
    Learn more about Cigna Pathwell Specialty

    Accreditation

    Cigna Healthcare has earned full URAC Specialty Pharmacy Accreditation validating our service, safety and improvement-oriented processes and programs.

    *Offered by Cigna Health and Life Insurance Company

    View Cigna Healthcare Company Names

    1 98% access to specialty drugs through Accredo. 2021 analysis based on Express Scripts adjudicated claims volume for commercial and health plan payers for limited distribution, exclusive distribution, and open access specialty drugs. Subject to change.

    2 Express Scripts book of business data 2022.

    3 Accredo operations data, 2022. Subject to change.

    Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, contact a Cigna Healthcare representative.

    Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company (Bloomfield, CT.) (CHLIC), Express Scripts, Inc., or their affiliates. “Accredo” refers to Accredo Health Group, Inc., one of The Cigna Group companies. Accredo and Therapeutic Resource Centers are service marks of Express Scripts Strategic Development, Inc. Plans contain exclusions and limitations and may not be available in all areas. In Utah, all products and services are provided by Cigna Health and Life Insurance Company (Bloomfield, CT). Policy forms: OK – HP-APP-1 et al., OR – HP-POL38 02-13, TN – HP-POL43/HC-CER1V1 et al. (CHLIC); GSA-COVER, et al. (CHC-TN).

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    Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of The Cigna Group Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by The Cigna Group Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna Healthcare.

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