01/01/2026 ASO Open Access Plus - OAP Traditional Plan Proclaim - 37302332 - V 33 - 10/20/25 05:18 PM ET 11 of 18 ©Cigna 2025 Pharmacy In-Network Preventive Drugs: Federally required preventive drugs will not be subject to deductible and will be provided at no charge. In addition, In-Network Generic and Preferred Brand preventive drugs and products included in the Preventive Plus Package will be provided at no charge. This may apply to drugs for: Asthma, Cholesterol Lowering, Depression, Diabetes (including diabetic supplies and continuous glucose monitor supplies), Heart Disease and Stroke, High Blood Pressure, Osteoporosis, Smoking Cessation, Prenatal Vitamins, Prescription Vitamins 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.