Prescription Medications Covered by Your Health Plan - Cigna Healthcare

Cigna Healthcare reserves the right to make changes to this drug list without notice. Your plan may cover additional medications; please refer to your enrollment materials for details. Cigna Healthcare does not take responsibility for any medication decisions made by the doctor or pharmacist.

PDF Male Sexual Dysfunction Treatment: Non-pharmacologic - Cigna

Sildenafil (Viagra®) - Vardenafil Erectile Dysfunction - Stendra. INSTRUCTIONS FOR USE . The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations.

PDF RIOR UTHORIZATION POLICY - Cigna

2 Pages - Cigna National Formulary Coverage - Policy:Erectile Dysfunction - Sildenafil Prior Authorization Policy • Pulmonary Arterial Hypertension.Sildenafil tablets (Revatio®) are approved for pulmonary arterial hypertension.2 Sildenafil (Viagra, generics) are available in 25 mg, 50 mg, and 100 mg tablets, and Revatio is available

PDF DRUG UANTITY ANAGEMENT POLICY ER X - Cigna

• ®viagra (sildenafil citrate tablets − pfizer, generic) review date: 04/23/2024 instructions for use the following coverage policy applies to health benefit plans administered by cigna companies. certain cigna companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations.

Prescription Drug List and Coverage | Cigna Healthcare

Find information about medications covered by Cigna Healthcare benefit plans. See the list of all prescription drugs or search for a specific medication. ... All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group Corporation, including Cigna Health and Life Insurance Company, ...

Sildenafil Oral Tablet 25 mg, 50 mg, 100 mg | Cigna - Cigna Healthcare

The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative.

PDF Erectile Dysfunction Vardenafil - static.cigna.com

The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients.

Erection Problems (Erectile Dysfunction) | Cigna - Cigna Healthcare

The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative.

PDF Tadalafil (Cialis) for Individual and Family Plans - Cigna

availability and the terms and conditions of coverage (for example, quantity limitations). Non-Covered Product Criteria is met, refer to below table(s) Tadalafil (Cialis) for Use as Needed for Erectile Dysfunction . Where covered, a maximum quantity limitation up to 8 tablets per 30 days is allowed of tadalafil (Cialis) 5mg, 10mg, or 20mg.