HELPFUL PHARMACIST INFORMATION

Proof of Cigna-HealthSpring Rx prescription drug coverage

There are three valid forms of benefit coverage identification:

  • Cigna-HealthSpring Rx ID card*
  • Completed Enrollment Acknowledgement Letter
  • CMS Confirmation Letter

Each contains the RxBIN and the RxPCN which are required to transmit claims to Catamaran for claims processing. For more about RxBIN, RxPCN and other pharmacy-specific information related to Cigna-HealthSpring, please visit our Pharmacy Management page.

Pharmacy Compliance Tools

Cigna-HealthSpring has developed materials to assist pharmacies with implementation of compliance elements such as training, conflict of interest review, and the exclusion review process.  To learn more and to access our tools, visit our Compliance Training Tools page.

Best Available Evidence (BAE)

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