01/01/2026 ASO Open Access Plus HDHPQ - HDHPQ 3500 Proclaim - 37302326 - V 33 - 10/20/25 05:17 PM ET 11 of 17 ©Cigna 2025 Drugs Covered Prescription Drug List: Your Cigna Standard Prescription Drug List includes a full range of drugs including all those required under applicable health care laws. To check which drugs are included in your plan, please log on to myCigna.com. Some highlights:  Coverage includes Self Administered injectables and optional injectable drugs – but excludes infertility drugs.  Contraceptive devices and drugs are covered with federally required products covered at 100%. Pharmacy Program Information Pharmacy Clinical Management: Essential Your plan features drug management programs and edits to ensure safe prescribing, and access to medications proven to be the most reliable and cost effective for the medical condition, including:  Prior authorization requirements  Step Therapy on select classes of medications and drugs new to the market  Quantity limits, including maximum daily dose edits, quantity over time edits, duration of therapy edits, and dose optimization edits  Age edits, and refill-too-soon edits  Plan exclusion edits  Current users of Step Therapy medications will be allowed one 30-day fill during the first three months of coverage before Step Therapy program applies.  Your plan includes Specialty Drug Management features, such as prior authorization and quantity limits, to ensure the safe prescribing and access to specialty medications.  For customers with complex conditions taking a specialty medication, we will offer Accredo Therapeutic Resource Centers (TRCs) to provide specialty medication and condition counseling. For customers taking a specialty medication not dispensed by Accredo, Cigna experts will offer this important specialty medication and condition counseling. Patient Assurance Program Your plan includes the Patient Assurance Program, which waives the deductible and reduces the amount you owe for certain medications used to treat chronic conditions included in the program. Additionally:  Any amount you pay for these medications only count toward meeting your out-of-pocket maximum.  Any discount provided by a pharmaceutical manufacturer for these medications only count toward meeting your out-of-pocket maximum. Additional Information Case Management Coordinated by Cigna HealthCare. This is a service designated to provide assistance to a patient who is at risk of developing medical complexities or for whom a health incident has precipitated a need for rehabilitation or additional health care support. The program strives to attain a balance between quality and cost effective care while maximizing the patient's quality of life. Cigna Diabetes Prevention Program in collaboration with Omada Cigna Diabetes Prevention Program in collaboration with Omada is a program to help you avoid the onset of diabetes, as well as health risks that might lead to heart disease or a stroke. The program is covered by your health plan at the preventive level, just like for your wellness visit. Program participants have access to a professional virtual health coach, an online support group, interactive lessons, and a smart-technology scale. The program will help you make small changes in your eating, activity, sleep, and stress to achieve healthy weight loss through a series of 16 weekly lessons and tools to help you maintain weight loss over time. You will also be offered the opportunity to join a gym for a low monthly fee and no enrollment fee.