3 About this drug list This is a list of the most commonly prescribed medications covered on the Cigna Healthcare Standard 4-Tier Prescription Drug List as of January 1, 2026. Medications are listed in alphabetical order (A-Z) by the condition they treat. The drug list is updated often; so, not all of the medications your plan covers may be listed here. Also, your plan may not cover all of these medications. Log in to the myCigna App or myCigna.com to see which medications your plan covers. How to read this drug list Use the table below to understand how medications are covered on the Cigna Healthcare Standard 4-Tier Prescription Drug List.* BLOOD PRESSURE/HEART MEDICATIONS Medication Tier Notes amlodipine 1 amlodipine-benazepril 1 amlodipine-olmesartan 1 QL amlodipine-valsartan 1 atenolol 1 bisoprolol-hctz 1 CALAN SR 3 CAMZYOS 3 SP, PA, QL candesartan 1 cartia xt 1 carvedilol 1 carvedilol er 1 QL CATAPRES-TTS 1 3 CATAPRES-TTS 2 3 CATAPRES-TTS 3 3 clonidine patch, tablet 1 CORLANOR ORAL SOLUTION 2 SP, PA CORLANOR TABLET 2 PA dilt xr 1 diltiazem tablet 1 diltiazem 12hr er 1 diltiazem 24hr er 1 diltiazem 24hr er (cd) 1 diltiazem 24hr er (la) 1 QL diltiazem 24hr er (xr) 1 DIOVAN 3 ST DIOVAN HCT 3 ST * This table is just an example. It may not show how these medications are currently covered on this drug list. Medications are grouped by the condition they treat Medications that may have extra coverage rules (requirements) have letters (acronyms) listed next to them in the Notes column Medications are listed in alphabetical order (A-Z) within each column Brand-name medications are in all CAPITAL letters Generic medications are in all lowercase letters Tier (cost-share level) gives you an idea of how much you may pay for a medication Specialty medications have SP listed next to them in the Notes column

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