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2022 CIGNA COMPREHENSIVE DRUG LIST (Formulary)
Feb 01, 2022 · The Formulary, pharmacy network, and/or provider network may change at any time. 22_F_S5617_TR_V02 February 2022 INT_22_98644_C_Final_11b Plan covered Cigna Extra Rx (PDP) February 2022 1 What is the Cigna Comprehensive Drug List? ... drugs filled at a preferred retail and/or mail-order pharmacies.
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Summary of Benefits and Coverage: What this Plan Covers ...
www.bcbsil.comIn-Network Preventive Health Care services, services with a copayment, and ... Up to a 90-day supply at mail order. Specialty drugs limited to a 30-day supply. ... Participating or Participating Pharmacy. Non -preferred generic drugs Retail - Preferred - $10/prescription
BlueSelect 2139
www.bcbsfl.comPreferred Brand: $200 Copay per Prescription (retail) Not Covered Up to 30 day supply for retail, 90 day supply for mail order at 2 1/2 times the retail amount. Non-preferred brand drugs $5,500 Pharmacy Deductible + 50% Coinsurance (retail) Not Covered Up to 30 day supply for retail, 90 day supply for mail order at 2 1/2 times the retail amount.
Get Started Guide
es.aetnamedicare.commail-order drugs do not arrive within the estimated time frame, please contact us toll-free at 1-866-235-5660 (TTY: 711), 24 hours a day, 7 days a week. The formulary and pharmacy network may change at any time.
2022 BCN Custom Select Drug List
www.bcbsm.com-Mail order for home delivery ° AllianceRx Walgreens Prime** Specialty Pharmacy ° Website: alliancerxwp.com* ° Telephone: 1-866-515-1355 • All other drugs -Local retail pharmacy — More than 2,300 retail pharmacies in Michigan and 65,000 retail pharmacies outside of Michigan accept your member ID card. -Mail order for home delivery