Some prescription drugs may require prior authorization. Medicare refers to a prior authorization for prescription drugs as Drug Prior Authorization or Coverage Determination.
You or your prescriber may request a coverage determination for the prescribed medication. Without prior authorization, the drug may not be covered.
Forms must be completely filled out and returned to the Cigna Medicare Pharmacy department.
Use the search tool to look up medications by drug name or choose from 1 of the lists below.
Drug-specific forms should be used if provided. If no drug-specific form is given to you, please use:
Other non-specific drug forms:
Search by Drug Name
Frequently Requested Drugs
Use this quick access list to find frequently used Prior Authorization Forms by drug name.
Opioids: Know the Risks
Our nation is facing an opioid epidemic. Because opioids carry such serious risks, Cigna and the Centers for Medicare & Medicaid Services (CMS) made important safety changes in 2019 to the prescription rules for Medicare customers.
Additional Plan Information
Drug List Formulary
See a comprehensive list of covered drugs.
Find Plan Documents
Go straight to the plan documents and information you need.
Provider and Pharmacy Directories
View our Medicare provider and pharmacy directories.
Premium Payment Options
Explore different options to pay your plan premium.