Addiction and overdose affect us all – individuals and families, employers and communities.
Cigna is committed to the fight against opioid misuse and overdose. We have set a goal to reduce overdoses among our commercial customers in key markets by 25% by December 2021.1 Our combination with Express Scripts helps strengthen our work to meet this goal.
As part of the upgrade to the Express Scripts claims engine, opioid utilization management (UM) programs will automatically be included as part of the standard offering to all Cigna Pharmacy clients. This will be provided at no additional cost to clients and will be included for clients regardless of their selection of a UM package.
This enhancement will help ensure that when opioids are necessary, they are:
Our stronger utilization management programs help address and reduce opioid misuse by applying extra scrutiny. This additional layer of review makes sure that a drug is appropriate to be approved for coverage. As a result, customers receive coverage for the right medication, in the right amount and for the right situation.
For more about Cigna’s actions to reduce opioid overdoses, please review these resources:
“Express Scripts” is a trademark of Express Scripts Strategic Development, Inc.
Health benefit plans vary, but in general to be eligible for coverage a drug must be approved by the Food and Drug Administration (FDA), prescribed by a health care professional, purchased from a licensed pharmacy and medically necessary. Some plans require you to use an in-network pharmacy for prescriptions to be covered. Coverage is subject to any plan deductible, copayment and/or coinsurance requirements. Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, contact a Cigna representative. Group medical and pharmacy plans are insured and/or administered by Cigna Health and Life Insurance Company or its affiliates. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. All pictures are used for illustrative purposes only. This website is not intended for residents of New Mexico.
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