Prescriptions

We Have You Covered

Prescription Drugs

Prescription drug coverage is included in your medical plan and is provided by Cigna. Cigna has a 4-tier prescription drug program that divides covered medications into tiers or coverage/cost levels. Typically, the higher the tier, the greater the cost of the medication.

IT PAYS TO CHECK
Medications can be reclassified in different tiers, so whether you have a new prescription or one you take regularly, it’s wise to determine if your medication is covered and at what tier. You can also estimate your costs in advance if you’re purchasing at an in-network pharmacy or through Cigna’s Home Delivery Pharmacy. Download the Prescription Value Plan and Preventive Generic List below.

TO ESTIMATE THE COST OF YOUR MEDICATION:
Visit myCigna.com or use the Cigna mobile app

QUESTIONS?
Talk with a Cigna representative at 800-244-6224

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Key Prescription Terms

NO-COST PREVENTIVE GENERIC MEDICATIONS
Preventive medications are used to prevent conditions like high blood pressure, high cholesterol, diabetes, asthma, osteoporosis, heart attack, stroke and prenatal nutrient deficiency. Harris County and Cigna cover certain preventive generic medications at 100%, or no cost ($0) to you.
SPECIALTY MEDICATIONS
Specialty medications are used to treat complex conditions like multiple sclerosis, hepatitis C and rheumatoid arthritis. You must purchase specialty medications through a network retail pharmacy or Cigna’s Specialty Pharmacy. Specialty medications are only dispensed for a 30-day supply.
90-DAY PRESCRIPTION REFILLS
You can fill your maintenance medication in a 90-day or 30-day supply at a retail pharmacy. Cigna offers a retail pharmacy network that gives you more choices for where you can fill your 90-day prescriptions. Some major pharmacies include CVS, Walmart and Kroger. Log in at myCigna.com or use the Cigna mobile app to compare cost and find a nearby, participating retail pharmacy.
PRIOR AUTHORIZATION
Under your plan, certain medications need approval from Cigna first before they’re covered. These medications have a (PA) next to them on your drug list and will only be covered by your plan if your doctor requests and receives approval from Cigna. Types of medications that typically need approval are those that:
• May be unsafe when combined with other medications
• Have lower-cost, equally effective alternatives available
• Should only be used for certain health conditions
• Are often misused or abused
For medications, prior authorizations are typically handled by your doctor’s office, which will work directly with Cigna. Cigna will then contact you with the results to let you know if your drug coverage has been approved or denied, or if they need more information.