
Get the free CIGNA STANDARD 4-TIER PRESCRIPTION DRUG LIST
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Pharmacy|Your 2021 Prescription Drug List Advantage 4Tier Effective Jan. 1, 2021This Prescription Drug List (PDL) is accurate as of Jan. 1, 2021 and is subject to change after this date. This PDL
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How to fill out cigna standard 4-tier prescription

How to fill out cigna standard 4-tier prescription
01
Obtain the prescription form from Cigna or your healthcare provider.
02
Fill in your personal information such as name, address, date of birth, and member ID number.
03
Identify the medication being prescribed and its dosage.
04
Select the appropriate tier for the medication based on the Cigna formulary.
05
Have your healthcare provider sign and date the form.
06
Submit the completed form to Cigna for processing.
Who needs cigna standard 4-tier prescription?
01
Individuals who are covered by a Cigna health insurance plan that includes prescription drug coverage.
02
People who are prescribed medications that fall under the 4-tier system outlined by Cigna.
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What is cigna standard 4-tier prescription?
Cigna standard 4-tier prescription is a formulary that categorizes prescription drugs into four tiers based on cost and coverage.
Who is required to file cigna standard 4-tier prescription?
Healthcare providers and pharmacists are required to file cigna standard 4-tier prescription.
How to fill out cigna standard 4-tier prescription?
Cigna standard 4-tier prescription can be filled out by entering the necessary information such as patient details, drug information, and prescriber details.
What is the purpose of cigna standard 4-tier prescription?
The purpose of cigna standard 4-tier prescription is to help determine coverage and cost-sharing for prescription drugs.
What information must be reported on cigna standard 4-tier prescription?
Information such as patient name, drug name, dosage, quantity, and prescriber information must be reported on cigna standard 4-tier prescription.
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