When vital medication becomes more affordable for customers, this helps promote better health. That’s where the Patient Assurance Program (PAP) comes in. For eligible customers who manage a chronic condition, like diabetes, the program caps prices at $25 for a 30-day (one-month) supply. As of April 1, 2021, the program will expand to include these additional branded diabetes medications, based on the client elected formulary: Insulin Lispro, Lyumjev, Ozempic, Rybelsus, and additional strengths of Trulicity.
All of this value applies automatically at the pharmacy (retail or home delivery) for enrolled customers. It’s just another example of how the program continues to grow from its initial focus. At the time PAP launched in 2019, the focus was on certain types of insulins. As of July 2020, the program expanded to include additional branded diabetes medications for customers using a non-insulin product to help manage their blood sugar. As of January 1, 2021, the program grew to also include Trijardy XR – indicated to treat type 2 diabetes.
Overall, the Patient Assurance Program continues to:
Access to the expanded PAP applies automatically to all clients enrolled in the program. No action is required. The April 2021 changes will positively impact customers in the program who use eligible products to help manage their blood sugar.
Overall, PAP is available to Cigna Pharmacy clients to enroll in upon renewal or plan start. This program is not available to Medicare or Medicaid plans. Insured plan availability is also dependent upon state filing approvals.
The Patient Assurance Program is a blueprint for other therapeutic areas where customers may be exposed to higher out-of-pocket medication costs – which may affect adherence for some customers.2
Patient Assurance Program is a trademark of Express Scripts Strategic Development, Inc.
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, review your plan documents or contact a Cigna representative.
All Cigna products and service are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, (CHLIC), Cigna Behavioral Health, Inc., Cigna Health Management, Inc., Evernorth, Accredo Health Group, Inc., Express Scripts, Inc., ESI Mail Pharmacy Service, Inc., Express Scripts Pharmacy, Inc., Tel-Drug, Inc., Tel-Drug of Pennsylvania, L.L.C., Lynnfield Drug, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC). The Cigna name, logo, and other Cigna marks are trademarks of Cigna Intellectual Property, Inc. "Express Scripts" is a trademark of Express Scripts Strategic Development, Inc. This newsletter is not intended for residents of New Mexico.
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