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Cigna Pathwell SpecialtySM

We bring together our specialty pharmacy and medical capabilities to help you cut costs.

Cigna Pathwell Specialty - Reducing the Cost of Specialty Drugs for Employers and Customers

As the cost of specialty drugs continues to rise, employers need a growth partner with the flexibility to offer solutions that help address high-cost medical conditions and their impact on total medical costs.

Cigna Pathwell Specialty helps control specialty spend across the medical and pharmacy benefit, where specialty drugs are obtained, and by coordinating care and supporting customers who need us the most.

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Cigna Pathwell Specialty

Learn how Cigna Pathwell Specialty can help control the rising cost of specialty medications.

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Cigna Pathwell Specialty

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Why Choose Cigna Pathwell Specialty?

Cigna Pathwell Specialty Network

Our cost-effective national network of over 28,000 providers1 requires certain infused and injected specialty medications be administered by a provider2 in the Cigna Pathwell Specialty Network or ordered from an in-network specialty pharmacy to be covered.

Personalized Support and Guidance

The Cigna Pathwell Specialty Care Manager acts as a personal guide for employees who are using out-of-network providers. These licensed, registered nurse care managers are part of a no-cost service that conducts proactive outreach. They work directly with doctors' offices and treatment locations to ensure patients are using in-network benefits so they can focus on their health and well-being.

Optimized Drug Coverage Management

Cigna Pathwell Specialty strengthens its capabilities by effectively managing the use of new-to-market specialty medications and removing high-priced drugs. Clients may see improved savings when customers and providers are directed to clinically appropriate, cost-effective alternative medications that promote the same positive outcomes.

Enhanced Capabilities and Savings

Cigna Pathwell Specialty enhances our capabilities by providing day-one guidance and improved prior authorization and claims processing, while saving employers more through in-network pricing and the ability to look across benefits for the best drug value.

Did You Know?

  • The specialty drug market is projected to continue growing by 8% per year due to new specialty products coming to market, continued expansion of the specialty population, and the increased price of these medications.3
  • Of the estimated $118 billion total specialty market expansion through 2025, it’s anticipated that new products will account for $62 billion of that growth.3
  • 4% of the population requires specialty medications but drives 65% of total drug spend and 19% of total health care spend.4

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About Cigna Pathwell

As the health care needs of our clients and customers continue to evolve, so do our solutions.

Cigna Pathwell is a set of solutions that help provide the best path forward to wellness, enhancing every step of the customer journey to clarify, streamline, and personalize care, moving businesses down the path of continued growth.

Related Areas

Cigna Pathwell Specialty for Customers Accredo Specialty Pharmacy Cigna Pathwell Bone & Joint Cigna Medical Plans Behavioral Health Benefits

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1 Number of providers as of February 2022. Subject to change.

2 “Provider” means an in-network specialty pharmacy the customer’s doctor orders their medication from or the place (location) where they have their treatment done.

3 Stephen West and David Filstein. Outlook for Health System-Based Specialty Pharmacy in 2022 and Beyond. January 20, 2022. https://www.pharmacytimes.com/view/outlook-for-health-system-based-specialty-pharmacy-in-2022-and-beyond (Accessed 1/12/23)

4 Cigna National Trend Report, 2022. Results vary by client.

Product availability may vary depending on location and plan type and is subject to change. All group insurance policies and benefit plans contain exclusions and limitations. For costs and complete details of coverage, contact your Cigna representative.

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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 Cigna 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 name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

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