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Home Medicare Member Resources and ServicesMedicare Drug List Formulary

Medicare Drug List Formulary

See if your prescriptions are covered by your Medicare plan.

What is a formulary?

formulary, or comprehensive drug list, is a list of commonly prescribed drugs that are covered by your plan. Cigna doctors and pharmacists pick these drugs for their effectiveness, safety, ease of use, and cost. Drug lists can change from year to year.

Lists of Covered Drugs

Below are the lists of covered drugs in our Cigna Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D). If your medication appears on the drug list, then it is a covered medication under that plan. Your medication might have certain requirements, such as prior authorization, quantity limits, or step therapy. You can use the list to check for other medications that treat your condition.

Confused by Medicare terms?

Look it up in the Cigna Glossary

Cigna Medicare Advantage Plans

Complete Drug List Formulary

2022 Complete Drug List Formulary

Cigna Achieve Medicare (HMO C-SNP) 2022 Drug List [PDF]

Cigna Achieve Medicare (HMO C-SNP) 2022 Drug List - Arizona Only [PDF]

Cigna Alliance Medicare (HMO) 2022 Drug List [PDF]

Cigna Alliance Medicare (HMO) 2022 Drug List - Arizona Only [PDF]

Cigna Preferred AL Medicare (HMO) 2022 Drug List [PDF]

Cigna Preferred GA Medicare (HMO) 2022 Drug List [PDF]

Cigna Preferred Medicare (HMO) 2022 Drug List [PDF]

Cigna Preferred Medicare (HMO) 2022 Drug List [PDF]
Includes Florida Counties: Brevard, Flagler, Hernando, Hillsborough, Lake, Marion, Manatee, Orange, Osceola, Pasco, Pinellas, Polk, Sarasota, Seminole, Sumter, Volusia

Cigna Preferred Medicare (HMO) 2022 Drug List - Alabama and North Carolina Only [PDF]

Cigna Preferred Medicare (HMO) 2022 Drug List - Arizona Only [PDF]

Cigna Preferred Medicare (HMO) 2022 Drug List - Colorado and Connecticut Only [PDF]

Cigna Preferred Medicare (PPO) 2022 Drug List - Texas Only [PDF]

Cigna Preferred Plus Medicare (HMO) 2022 Drug List [PDF]

Cigna Preferred Plus Medicare (HMO) 2022 Drug List - Alabama and North Carolina Only [PDF]

Cigna Preferred Savings Medicare (HMO) 2022 Drug List [PDF]
Includes Florida Counties: Brevard, Flagler, Hernando, Hillsborough, Lake, Marion, Manatee, Orange, Osceola, Pasco, Pinellas, Polk, Sarasota, Seminole, Sumter, Volusia

Cigna Preferred Savings Medicare (HMO) 2022 Drug List - Includes Florida Counties: Collier, Indian River, Lee, Martin, St. Lucie [PDF]

Cigna Preferred Savings Medicare (HMO) 2022 Drug List -Texas [PDF]

Cigna Premier Medicare (HMO-POS) 2022 Drug List [PDF]

Cigna Primary Medicare (HMO) 2022 Drug List - Florida Only [PDF]

Cigna Primary Medicare (HMO) 2022 Drug List - Tennessee Only [PDF]

Cigna TotalCare (HMO D-SNP) 2022 Drug List [PDF]

Cigna TotalCare (HMO D-SNP) 2022 Drug List - Florida Only [PDF]

Cigna TotalCare AL (HMO D-SNP) 2022 [PDF]

Cigna TotalCare Plus Medicare (HMO) 2022 Drug List [PDF]

Cigna TotalCare Plus Medicare (HMO) 2022 Drug List - Florida Only [PDF]

Cigna True Choice Medicare (PPO) 2022 Drug List [PDF]

Cigna True Choice Medicare (PPO) 2022 Drug List [PDF]
Includes Florida Counties: Indian River, Martin, St. Lucie

Cigna True Choice Medicare (PPO) 2022 Drug List - Colorado and Texas Only [PDF]

Cigna True Choice Plus Medicare (PPO) 2022 Drug List [PDF]

Updated 07/2022

Cigna Medicare Part D Prescription Drug Plans

Complete Drug List Formulary

2022 Complete Drug List Formulary

Cigna Essential Rx (PDP) 2022 Drug List [PDF]

Cigna Extra Rx (PDP) 2022 Drug List [PDF]

Cigna Secure Rx (PDP) 2022 Drug List [PDF]

Updated 07/2022

Each Medicare Part D Prescription Drug Plan must follow the rules set forth by Medicare for covering Part D drugs and be approved by Medicare each year. Medicare Part D Prescription Drug Plans must include at least 2 drugs in every drug category. In addition, each Medicare Part D Prescription Drug Plan must:

  • Make sure you have convenient access to retail pharmacies
  • Have a process to request exceptions to the drug list
  • Provide useful information to you, such as how drug lists and medication management programs work, information on saving money with generic drugs, and grievance and appeal processes

Not all prescription drugs are included on the drug list. In some cases, the law prohibits Medicare coverage of certain types of drugs. In other cases, we have decided not to include a particular drug on our drug list because we may have an alternative drug that can be taken.

Generics

All Cigna Medicare Part D Prescription Drug Plans cover various brand-name drugs and generic drugs. Generic drugs have the same active ingredients as brand name drugs. 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.

More Information Regarding Prescription Drugs

Transitioning to a New Plan Policy [PDF]

Medication Therapy Management

Prior Authorization Criteria

2022 Prior Authorization Criteria

Cigna Medicare Advantage Plans [PDF]

Cigna Secure Rx (PDP) Plan  [PDF]

Cigna Essential Rx (PDP) Plan PDP [PDF]

Cigna Extra Rx (PDP) Plan [PDF]

Updated 07/2022

Step Therapy Criteria

2022 Step Therapy Criteria

Cigna Medicare Advantage Plans [PDF]

Cigna Medicare Advantage Plans – Part B Drugs [PDF] (Updated 06/2022)

Cigna Secure Rx (PDP) Plan [PDF]

Cigna Essential Rx (PDP) Plan [PDF]

Cigna Extra Rx (PDP) Plan [PDF]

Updated 07/2022

Formulary Changes

During a plan year, Cigna may make certain changes to our list of covered drugs. Most changes throughout the year will have a positive impact on customers such as adding new drugs to our drug list, removing restrictions, or moving a medication to a lower cost-sharing tier.

Plans are limited in their ability to make changes during the year that will have a negative impact on customers. A negative change would be removing a medication, moving it to a higher cost-sharing tier, or adding a new requirement. If there are negative changes, in most cases we will post a notice on this site before the change becomes effective. If you are taking the medication with the change you will generally be notified on your Explanation of Benefits (EOB) statement. We also may make a change when a new generic becomes available.

From year to year our drug list may change. It is important that you check the drug list included in your Annual Notice of Changes (ANOC), or the 2022 Cigna Medicare Drug and Pharmacy Search Tool to confirm the coverage of your medications for the next year.

Additional Plan Information

Medicare Advantage Enrollment Information
Learn about your options to enroll using online forms, phone, mail, or fax.

Find Plan Documents
Go straight to the plan documents and information you need.

Provider and Pharmacy Directories
View our Medicare provider and pharmacy directories.

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This information is not intended for people with group-sponsored plans provided by an employer. If you are in a group plan, please visit Group Plans Resources, call the telephone number on your Cigna ID card, or contact your plan administrator for more information.

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Medicare Advantage Policy Disclaimers

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All clinical products and services of the LivingWell Health Centers are either provided by or through clinicians contracted with HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. or employees leased by HS Clinical Services, PC, Bravo Advanced Care Center, PC (PA), Bravo Advanced Care Center, PC (MD) and not by Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only.

Cigna contracts with Medicare to offer Medicare Advantage HMO and PPO plans and Part D Prescription Drug Plans (PDP) in select states, and with select State Medicaid programs. Enrollment in Cigna depends on contract renewal.

Medicare Supplement Policy Disclaimers

Medicare Supplement website content not approved for use in: Minnesota, Missouri, North Carolina, North Dakota, Oregon, Virginia.

AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. We'll provide an outline of coverage to all persons at the time the application is presented.

Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. This is a solicitation for insurance. An insurance agent may contact you. Premium and benefits vary by plan selected. Plan availability varies by state. Medicare Supplement policies are underwritten by Cigna National Health Insurance Company, Cigna Health and Life Insurance Company, American Retirement Life Insurance Company or Loyal American Life Insurance Company. Each insurer has sole responsibility for its own products.

The following Medicare Supplement Plans are available to persons eligible for Medicare due to disability: Plan A in Arkansas, Connecticut, Indiana, Maryland, Oklahoma, Texas, and Virginia; Plans A, F, and G in North Carolina; and Plans C and D in New Jersey for individuals aged 50-64. Medicare Supplement policies contain exclusions, limitations, and terms under which the policies may be continued in force or discontinued. For costs and complete details of coverage, contact the company.

This website is designed as a marketing aid and is not to be construed as a contract for insurance. It provides a brief description of the important features of the policy. Please refer to the policy for the full terms and conditions of coverage.

American Retirement Life Insurance Company, Cigna National Health Insurance Company and Loyal American Life Insurance Company do not issue policies in New Mexico.

Kansas Disclosures, Exclusions and Limitations

Medicare Supplement Policy Forms: Plan A: CNHIC-MS-AA-A-KS, CNHIC-MS-AO-A-KS; Plan F: CNHIC-MS-AA-F-KS, CNHIC-MS-AO-F-KS; Plan G: CNHIC-MS-AA-G-KS, CNHIC-MS-AO-G-KS; Plan N: CNHIC-MS-AA-N-KS, CNHIC-MS-AO-N-KS

Exclusions and Limitations:

The benefits of this policy will not duplicate any benefits paid by Medicare. The combined benefits of this policy and the benefits paid by Medicare may not exceed one-hundred percent (100%) of the Medicare Eligible Expenses incurred. This policy will not pay benefits for the following:

(1) the Medicare Part B Deductible;

(2) any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance;

(3) any services that are not medically necessary as determined by Medicare;

(4) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare;

(5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy;

(6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or

(7) Preexisting Conditions: We will not pay for any expenses incurred for care or treatment of a Preexisting Condition for the first six (6) months from the effective date of coverage. This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six (6) months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six (6) month waiting period has already been satisfied. Evidence of prior coverage or replacement must have been disclosed on the application for this policy. If You had less than six (6) months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied.

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Y0036_22_101121_M | Page last updated 06/01/2022 .