30 Frequently Asked Questions (FAQs) (cont.) not limited to, medications, medical supplies and/or devices covered under standard pharmacy benefits. It can take up to six months from the date the FDA approved them for us to make a decision. If your doctor wants you to use a recently approved medication, your doctor’s office can ask us to cover it through our review process. Q. What are preventive medications? A. Preventive medications can help keep you from getting certain long-term health conditions such as asthma, depression, diabetes, heart attack, high blood pressure, high cholesterol, osteoporosis (a disease that causes bones to become weak), prenatal nutrient deficiency (when a pregnant person doesn't get enough of the nutrients they need) and stroke. They improve your changes of staying well and living longer. Q. Which medications are covered under the health care reform law? A. The Patient Protection and Affordable Care Act (PPACA), also known as health care reform, helps make health care and preventive care more affordable. PPACA requires health plans to cover the full cost of certain preventive medications and over-the-counter (OTC) products. This means you don't have to pay anything – not even a copay, coinsurance or deductible for these products. To see a list of $0 medications, go to Cigna.com/PDL and click on the dropdown next to "Drug Lists for Employer Plans." Under the Preventive Drug Lists section, click on the link for the PPACA No Cost-Share Preventive Drug List. Q. How can I find out how much my medication will cost me? A. When you and your doctor are thinking about the right medication for your treatment, knowing how much it costs, what lower-cost options are available, and which pharmacies have the best prices can help you avoid surprises. Log in to the myCigna App or myCigna.com and use the Price a Medication tool to see how much your medication costs before you get to the pharmacy counter – or even before you leave your doctor’s office.4 Q. What’s a cost-share? A. It’s the amount you pay out of your own pocket for a covered prescription and/or an eligible health care or related service. For some plans, the cost-share is a copay; for other plans, it’s a coinsurance. Q. How can I save money on my prescription medications? A. You should think about using a medication that’s covered on a lower tier, such as a generic or preferred brand medication, or by filling a 90-day supply (if your plan allows). Ask your doctor if one of these options may work for you. Q. What's a generic medication? A. A generic is the same as its brand-name version. It has the same active ingredient, strength and dosage form, treats the same condition(s), and works in the same way – and typically costs less.3 Generics are typically sold under their chemical or scientific name, instead of the brand name. Q. Do generics work the same as brand-name medications? A. Yes. A generic medication works in the same way and provides the same clinical benefit as the brand- name medication.3 Q. What are the differences between generic and brand-name medications? A. The generic and brand-name medication may3: • Look different. For example, generics may have a different shape, size or color than their brand- name versions. • Have a different flavor and/or different preservatives, come in different packaging and/ or with different labeling and may expire at different times. It's important to know that these differences don't affect how the generic works. Q. What is a "biosimilar" medication? A. A biosimilar is “highly similar” to its original biologic medication, which is also known as a reference product, that the FDA has already approved. Even though biosimilars aren’t identical to the original medication, they're used to treat the same conditions, and provide the same clinical outcomes
Cigna Healthcare Standard 4-Tier Prescription Drug List Page 29 Page 31