January 2017 Cigna Non-Medicare Formulary Change

FORMULARY CHANGES CIGNA COMMERCIAL CUSTOMERS

Effective January 1, 2017, Cigna has made formulary changes that may affect customers at your pharmacy. Cigna has limited the number of preferred drugs in certain drug classes within our formularies. Some drug classes now feature one or a select set of preferred brand name drugs, and other brand name equivalent drugs are covered by going through Cigna’s medical necessity review process. We have included a list of drugs – by drug class – that are considered non-covered or non-preferred brand as of January 1, 2017 and their covered alternatives. We sent letters to the customers and prescribers explaining the effect, based on their current medications. However, if a customer with Cigna pharmacy benefits does come in and attempts to refill a medication that is not covered, when appropriate, we ask that you assist them in the following ways:

• Mention the alternative covered drugs available in the chart below
• Urge the customer to meet with the prescriber to discuss these alternatives or please call the prescriber to facilitate the new prescription

Please help the customer fill out this simple form to bring to their prescriber.

Pharmacy Forms

Submit a Maximum Allowable Cost (MAC) review form for Cigna Preferred pharmacies to request a higher amount of pharmacy coverage for a patient.

Submit an Optum Maximum Allowable Cost (MAC) review form for Cigna Non-Preferred pharmacies to request a higher amount of pharmacy coverage for a patient.

View all Pharmacy forms at CignaforHCP