2018 Cigna-HealthSpring Rx (PDP) DRUG LIST (Formulary)

You can ask Customer Service for a list of similar drugs that are covered by the plan. When you receive the list, show itto your doctor and ask him or her to prescribe a similar drug that is covered by the plan. You can ask the plan to make an exception to cover your drug. See below for information about how to request anexception.How do I request an exception to the plan Drug List?You can ask us to make an exception to our coverage rules. There are several types of exceptions that you can ask us to make. You can ask us to cover a drug even if it is not in our drug list. If approved, this drug will be covered at a pre-determinedcost-sharing level, and you would not be able to ask us to provide the drug at a lower cost-sharing level. You can ask us to waive coverage restrictions or limits on your drug. For example, for certain drugs, the plan limits theamount of the drug that we will cover. If your drug has a quantity limit, you can ask us to waive the limit and cover agreater amount. You can ask us to provide a tiering exception for a higher cost-sharing drug to be covered at a lower cost-sharing tier. Ifyour drug is contained in our Non-Preferred Brand tier or the Non-Preferred Generic tier, you can ask us to cover it at thecost-sharing amount that applies to drugs in the respective Preferred Brand or Preferred Generic tier instead. This wouldlower the amount you must pay for your drug. Please note, if we grant your request to cover a drug that is not in our druglist, you may not ask us to provide a higher level of coverage for the drug. Also, you may not ask us to provide a higherlevel of coverage for drugs that are in the Specialty tier.Generally, we will only approve your request for an exception if the alternative drug is included on the plan’s drug list, the lowercost-sharing drug or additional utilization restrictions would not be as effective in treating your condition and/or would cause you tohave adverse medical effects.You should contact us to ask us for an initial coverage decision for a drug list, tiering or utilization restriction exception. When yourequest a drug list, tiering or utilization restriction exception, you should submit a statement from your prescriber ordoctor supporting your request. Generally, we must make our decision within 72 hours of getting your prescriber’s supportingstatement. You can request an expedited (fast) exception if you or your doctor believe that your health could be seriously harmedby waiting up to 72 hours for a decision. If your request to expedite is granted, we must give you a decision no later than 24 hoursafter we get a supporting statement from your doctor or other prescriber.What do I do before I can talk to my doctor about changing my drugs or requesting an exception?As a new or continuing customer in our plan, you may be taking drugs that are not in our drug list. Or, you may be taking a drugthat is in our drug list but your ability to get it is limited. For example, you may need a prior authorization from us before you canfill your prescription. You should talk to your doctor to decide if you should switch to an appropriate drug that we cover or requesta drug list exception so that we will cover the drug you take. While you talk to your doctor to determine the right course of actionfor you, we may cover your drug in certain cases during the first 90 days you are a customer of our plan.For each of your drugs that is not in our drug list or if your ability to get your drugs is limited, we will cover a temporary 30-daysupply (unless you have a prescription written for fewer days) when you go to a network pharmacy. After your first 30-day supply,we will not pay for these drugs, even if you have been a customer of the plan less than 90 days.If you are a resident of a long-term care facility, we will allow you to refill your prescription until we have provided you with a 91-98day transition supply, consistent with dispensing increment, (unless you have a prescription written for fewer days). We will covermore than one refill of these drugs for the first 90 days you are a customer of our plan. If you need a drug that is not on our druglist or if your ability to get your drugs is limited, but you are past the first 90 days of membership in our plan, we will cover a 31-dayemergency supply of that drug (unless you have a prescription for fewer days) while you pursue a drug list exception.In order to accommodate unexpected transitions of our customers that do not leave time for advanced planning, such as level-ofcare changes due to discharge from a hospital to a nursing facility or to a home, we will allow a one-time 31-day supply (unlessthe prescription is written for fewer days).4

Cigna-HealthSpring Rx (PDP) Drug ListThe comprehensive drug list provides coverage information about all of the drugs covered by Cigna-HealthSpring Rx (PDP). If youhave trouble finding your drug in the list, turn to the Covered Drug Index that begins on page 101.The first column of the chart lists the drug name. Brand name drugs are capitalized (e.g., BYSTOLIC) and generic drugs are listedin lower-case italics (e.g., simvastatin).The information in the Requirements/Limits column tells you if we have any special requirements for coverage of your drug.We provide quantity limits on certain drugs which, are indicated with a QL in the drug list that begins on page 7, along with theamount dispensed per the days supplied. (For example: BYSTOLIC 10MG QL 30/30; this means the drug BYSTOLIC 10MG islimited to 30 tablets per 30 days. For 90-day supplies, this quantity limit would be expanded to 90 tables per 90 days).For more informationFor more detailed information about your Cigna-HealthSpring Rx (PDP) coverage, please review your Evidence of Coverageand other plan materials.If you have questions about Cigna-HealthSpring Rx (PDP), please contact us. Our contact information, along with the date welast updated the drug list, appears on the front and back cover pages.If you have general questions about Medicare prescription drug coverage, please call Medicare at 1-800-MEDICARE (1-800633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048. Or, visit http://www.medicare.gov.5

2018 Drug Tier and Cost Share TableCigna-HealthSpring Rx (PDP)30-day supply30-day supply90-day supply90-day supply30-day supplyRetailMail OrderRetailMail OrderOut of Network*Colby CollegeTier 1:PreferredGeneric DrugsTier 2:Preferred BrandDrugsTier 3:Non-PreferredBrand andGeneric DrugsTier 4:Specialty** Drugs 10 10 20 2020% 25 25 50 5020% 40 40 80 8020% 40 40N/AN/A20%* You may get drugs at an out-of-network pharmacy. You will pay the cost share above, plus the amount that the out-ofnetwork pharmacy billed charges are higher than our typical standard retail pharmacy billed charges.** Specialty generic and brand drugs are limited to a 30-day supply.This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments,and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.Note for customers receiving Extra Help: Your LIS copay level will be based on how the Food and Drug Administration(FDA) classifies certain drugs. Due to this, a generic drug may receive a preferred drug copay, or a preferred brand drugmay receive a generic drug copay. Please see your LIS Rider for additional information on these copay levels. Or callCustomer Service for further clarification regarding a specific drug. You may also refer to your Evidence of Coveragedocument for additional details.6

2018 Comprehensive FormularyCost-Sharing Tier DescriptionTier 1: Preferred Generic DrugsTier 2: Preferred Brand DrugsTier 3: Non-Preferred Generic and Brand DrugsTier 4: Specialty DrugsSymbol Key - Utilization Management Requirements/ LimitsB/DBPD/EECPAPAHRMQLSTThis prescription drug has a Part B versus D administrative prior authorization requirement. This drug may becovered under Medicare Part B or D depending on circumstances.Supplemental Brand Package drugs. These Part D drugs are not offered on the standard Medicare Part Dformulary.This prescription drug has a Part D versus Exclusion administrative prior authorization requirement. This drugmay be covered under Medicare Part D depending on circumstances.Supplemental Expanded Coverage drugs. These Part D drugs are not offered or offered at a higher tier on thestandard Medicare Part D formulary.This drug requires prior authorization.This High Risk Medication (HRM) requires prior authorization.This drug has quantity limits.This drug has step therapy requirements. This prescription drug is not normally covered in a Medicare Prescription Drug Plan. The amount you pay whenyou fill a prescription for this drug does not count towards your total drug costs (that is, the amount you pay doesnot help you qualify for catastrophic coverage). In addition, if you are receiving extra help to pay for yourprescriptions, you will not get any extra help to pay for this drug.Generally all medications in the drug list are available through mail order, except when special circumstances or situationsprohibit mailing a particular medication to your home.2018 Comprehensive FormularyDrug NameDrug RequirementsTier/ LimitsDrug Name1st Generation/Typicalchlorpromazine 10 mg tabletchlorpromazine 100 mg tabletchlorpromazine 200 mg tabletchlorpromazine 25 mg tabletchlorpromazine 25 mg/ml ampchlorpromazine 50 mg tabletCOMPRO 25 MGSUPPOSITORYfluphenazine 1 mg tabletfluphenazine 10 mg tabletfluphenazine 2.5 mg tabletfluphenazine 2.5 mg/5 ml elixfluphenazine 2.5 mg/ml vialfluphenazine 5 mg tabletfluphenazine 5 mg/ml concfluphenazine dec 125 mg/5 mlhaloperidol 0.5 mg tablethaloperidol 1 mg tablethaloperidol 10 mg tablethaloperidol 2 mg tablethaloperidol 20 mg tablethaloperidol 5 mg tablethaloperidol dec 100 mg/ml vialhaloperidol dec 50 mg/ml vialhaloperidol lac 2 mg/ml conchaloperidol lac 5 mg/ml vialloxapine 10 mg capsuleloxapine 25 mg capsuleloxapine 5 mg capsule11111111111117Drug RequirementsTier/ Limits111111111111111QL 120/30QL 120/30

2018 Comprehensive FormularyDrug Nameloxapine 50 mg capsulemolindone hcl 10 mg tabletmolindone hcl 25 mg tabletmolindone hcl 5 mg tabletperphenazine 16 mg tabletperphenazine 2 mg tabletperphenazine 4 mg tabletperphenazine 8 mg tabletpimozide 1 mg tabletpimozide 2 mg tabletprochlorperazine 10 mg tabprochlorperazine 10 mg/2 ml vlprochlorperazine 25 mg suppprochlorperazine 5 mg tabletthioridazine 10 mg tabletthioridazine 100 mg tabletthioridazine 25 mg tabletthioridazine 50 mg tabletthiothixene 1 mg capsulethiothixene 10 mg capsulethiothixene 2 mg capsulethiothixene 5 mg capsuletrifluoperazine 1 mg tablettrifluoperazine 10 mg tablettrifluoperazine 2 mg tablettrifluoperazine 5 mg tabletDrug RequirementsTier/ LimitsDrug Name111111111111111111111111112nd Generation/AtypicalABILIFY 10 MG TABLET3ABILIFY 15 MG TABLET3ABILIFY 2 MG TABLET3ABILIFY 20 MG TABLET3ABILIFY 30 MG TABLET3ABILIFY 5 MG 0/30,BPQL30/30,BP8Drug RequirementsTier/ LimitsABILIFY MAINTENA ER 300 MGSYRABILIFY MAINTENA ER 300 MGVLABILIFY MAINTENA ER 400 MGSYRaripiprazole 1 mg/ml solutionaripiprazole 10 mg tabletaripiprazole 15 mg tabletaripiprazole 2 mg tabletaripiprazole 20 mg tabletaripiprazole 30 mg tabletaripiprazole 5 mg tabletaripiprazole odt 10 mg tabletaripiprazole odt 15 mg tabletARISTADA ER 1064 MG/3.9 MLSYRARISTADA ER 441 MG/1.6 MLSYRNARISTADA ER 662 MG/2.4 MLSYRNARISTADA ER 882 MG/3.2 MLSYRNFANAPT 1 MG TABLET4QL 1/304QL 1/304QL 1/301111111444QL 900/30QL 30/30QL 30/30QL 30/30QL 30/30QL 30/30QL 30/30QL 60/30QL 60/30QL 3.9/604QL 1.6/304QL 2.4/304QL 3.2/303FANAPT 10 MG TABLET4FANAPT 12 MG TABLET4FANAPT 2 MG TABLET3FANAPT 4 MG TABLET3FANAPT 6 MG TABLET4FANAPT 8 MG TABLET4FANAPT TITRATION PACK3GEODON 20 MG CAPSULE3GEODON 20 MG/ML 30,STQL60/30,STQL60/30,STQL16/30,STQL60/30,BPQL 6/30

2018 Comprehensive FormularyDrug NameDrug RequirementsTier/ LimitsGEODON 40 MG CAPSULE3GEODON 60 MG CAPSULE3GEODON 80 MG CAPSULE3INVEGA SUSTENNA 117 MG/0.75MLINVEGA SUSTENNA 156 MG/MLSYRGINVEGA SUSTENNA 234 MG/1.5MLINVEGA SUSTENNA 39 MG/0.25MLINVEGA SUSTENNA 78 MG/0.5MLINVEGA TRINZA 273 MG/0.875MLINVEGA TRINZA 410 MG/1.315MLINVEGA TRINZA 546 MG/1.75MLINVEGA TRINZA 819 MG/2.625MLLATUDA 120 MG TABLET4QL60/30,BPQL60/30,BPQL60/30,BPQL 0.75/284QL 1/284QL 1.5/283QL 0.25/284QL 0.5/284QL 0.88/904QL 1.32/904QL 1.75/904QL 2.63/904LATUDA 20 MG TABLET4LATUDA 40 MG TABLET4LATUDA 60 MG TABLET4LATUDA 80 MG TABLET4NUPLAZID 17 MG TABLET4olanzapine 10 mg tabletolanzapine 10 mg vialolanzapine 15 mg tabletolanzapine 2.5 mg tabletolanzapine 20 mg tabletolanzapine 5 mg STQL60/30,STPA,QL60/30QL 30/30QL 30/30QL 30/30QL 30/30QL 30/30QL 30/30Drug Name9Drug RequirementsTier/ Limitsolanzapine 7.5 mg tabletolanzapine odt 10 mg tabletolanzapine odt 15 mg tabletolanzapine odt 20 mg tabletolanzapine odt 5 mg tabletpaliperidone er 1.5 mg tabletpaliperidone er 3 mg tabletpaliperidone er 6 mg tabletpaliperidone er 9 mg tabletquetiapine er 150 mg tabletquetiapine er 200 mg tabletquetiapine er 300 mg tabletquetiapine er 400 mg tabletquetiapine er 50 mg tabletquetiapine fumarate 100 mg tabquetiapine fumarate 200 mg tabquetiapine fumarate 25 mg tabquetiapine fumarate 300 mg tabquetiapine fumarate 400 mg tabquetiapine fumarate 50 mg tabREXULTI 0.25 MG TABLET111111114111111111114REXULTI 0.5 MG TABLET4REXULTI 1 MG TABLET4REXULTI 2 MG TABLET4REXULTI 3 MG TABLET4REXULTI 4 MG TABLET4RISPERDAL 0.25 MG TABLET3RISPERDAL 0.5 MG TABLET3RISPERDAL 1 MG TABLET3RISPERDAL 1 MG/MLSOLUTION3QL 30/30QL 30/30QL 30/30QL 30/30QL 30/30QL 30/30QL 30/30QL 60/30QL 30/30QL 30/30QL 30/30QL 60/30QL 60/30QL 60/30QL 60/30QL 60/30QL 60/30QL 60/30QL 60/30QL /30,BP

2018 Comprehensive FormularyDrug NameDrug RequirementsTier/ LimitsRISPERDAL 2 MG TABLET3RISPERDAL 3 MG TABLET3RISPERDAL 4 MG TABLET3RISPERDAL CONSTA 12.5 MGSYRRISPERDAL CONSTA 25 MGSYRRISPERDAL CONSTA 37.5 MGSYRRISPERDAL CONSTA 50 MGSYRrisperidone 0.25 mg odtrisperidone 0.25 mg tabletrisperidone 0.5 mg odtrisperidone 0.5 mg tabletrisperidone 1 mg odtrisperidone 1 mg tabletrisperidone 1 mg/ml solutionrisperidone 2 mg odtrisperidone 2 mg tabletrisperidone 3 mg odtrisperidone 3 mg tabletrisperidone 4 mg odtrisperidone 4 mg tabletSAPHRIS 10 MG TAB SL BLKCHERYSAPHRIS 2.5 MG TAB SL BLKCHRYSAPHRIS 5 MG TAB SL BLKCHERRYSEROQUEL 100 MG TABLET3QL60/30,BPQL60/30,BPQL120/30,BPQL 2/283QL 2/283QL 2/284QL 2/2811111111111112SEROQUEL 200 MG TABLET3SEROQUEL 25 MG TABLET3SEROQUEL 300 MG TABLET3QL 60/30QL 60/30QL 60/30QL 60/30QL 60/30QL 60/30QL 360/30QL 60/30QL 60/30QL 60/30QL 60/30QL 120/30QL /30,BPQL60/30,BPQL60/30,BP223Drug Name10Drug RequirementsTier/ LimitsSEROQUEL 400 MG TABLET3SEROQUEL 50 MG TABLET3SEROQUEL XR 150 MGTABLETSEROQUEL XR 200 MGTABLETSEROQUEL XR 300 MGTABLETSEROQUEL XR 400 MGTABLETSEROQUEL XR 50 MGTABLETVRAYLAR 1.5 MG CAPSULE34VRAYLAR 1.5 MG-3 MG PACK3VRAYLAR 3 MG CAPSULE4VRAYLAR 4.5 MG CAPSULE4VRAYLAR 6 MG CAPSULE4ziprasidone hcl 20 mg capsuleziprasidone hcl 40 mg capsuleziprasidone hcl 60 mg capsuleziprasidone hcl 80 mg capsuleZYPREXA 10 MG TABLET11113ZYPREXA 15 MG TABLET3ZYPREXA 2.5 MG TABLET3ZYPREXA 20 MG TABLET3ZYPREXA 5 MG TABLET3ZYPREXA 7.5 MG TABLET3ZYPREXA RELPREVV 210 MGVL L30/30,STQL30/30,STQL30/30,STQL 60/30QL 60/30QL 60/30QL 30,BPQL30/30,BPQL 2/28

2018 Comprehensive FormularyDrug NameDrug RequirementsTier/ LimitsZYPREXA RELPREVV 300 MGVL KITZYPREXA RELPREVV 405 MGVL KIT4QL 2/284QL 1/28Drug NameAlcohol Deterrents/Anti-cravingacamprosate calc dr 333 mg tabANTABUSE 250 MG TABLETANTABUSE 500 MG TABLETdisulfiram 250 mg tabletdisulfiram 500 mg tabletVIVITROL 380 MG VIAL DILUENT133114BPBPPAAlkylating AgentsBENDEKA 100 MG/4 ML VIAL4BICNU 100 MG VIALbusulfan 60 mg/10 ml vialBUSULFEX 60 MG/10 ML VIALcyclophosphamide 1 gm vialcyclophosphamide 2 gm vialcyclophosphamide 25 mgcapsulecyclophosphamide 50 mgcapsulecyclophosphamide 500 mg vialdacarbazine 100 mg vialdacarbazine 200 mg vialEVOMELA 50 MG VIALGLEOSTINE 10 MGCAPSULEGLEOSTINE 100 MGCAPSULEGLEOSTINE 40 MGCAPSULEGLEOSTINE 5 MG CAPSULEHEXALEN 50 MG CAPSULEifosfamide 1 gm vialifosfamide 1 gm/20 ml vialifosfamide 3 gm vialifosfamide 3 gm/ 60 ml LI FEMARA 200 MG COPACKKISQALI FEMARA 400 MG COPACKKISQALI FEMARA 600 MG COPACKLEUKERAN 2 MG TABLETMATULANE 50 MGmelphalan 50 mg vial w-diluentMUSTARGEN 10 MG VIALTEPADINA 100 MG VIALTEPADINA 15 MG VIALthiotepa 15 mg vialTREANDA 100 MG VIALTREANDA 180 MG/2 ML VIAL244333144TREANDA 25 MG VIAL4TREANDA 45 MG/0.5 ML VIAL4VALCHLOR 0.016% GELYONDELIS 1 MG VIALZANOSAR 1 GM POWDERVIAL4434QL 49/284QL 70/284QL ,B/DPA,QL8/21,B/DPA,QL6/21,B/DQL 60/30PA,B/DPA,B/DAlpha-adrenergic AgonistsCATAPRES-TTS 1 PATCHCATAPRES-TTS 2 PATCHCATAPRES-TTS 3 PATCHclonidine 0.1 mg/day patchclonidine 0.2 mg/day patchclonidine 0.3 mg/day patchclonidine hcl 0.1 mg tabletclonidine hcl 0.2 mg tabletclonidine hcl 0.3 mg tabletCLORPRES 0.1-15 TABLETCLORPRES 0.2-15 TABLETCLORPRES 0.3-15 TABLETguanfacine 1 mg tabletguanfacine 2 mg tabletmethyldopa 250 mg tablet22241111Drug RequirementsTier/ LimitsPA,B/DPA,B/DPA,B/DPA,B/D11333111111111111QL 4/28,BPQL 4/28,BPQL 8/28,BPQL 4/28QL 4/28QL 8/28PA HRM

2018 Comprehensive FormularyDrug NameDrug RequirementsTier/ Limitsmethyldopa 500 mg tabletmethyldopa-hctz 250-15 mg tabmethyldopa-hctz 250-25 mg tabmethyldopate 250 mg/5 ml vialmidodrine hcl 10 mg tabletmidodrine hcl 2.5 mg tabletmidodrine hcl 5 mg tablet1111111Drug Nametobramycin 1.2 gm vialtobramycin 1.2 gram/30 ml vialtobramycin 10 mg/ml vialtobramycin 40 mg/ml vialtobramycin 80 mg/100 ml nsTOBREX 0.3% EYEOINTMENTZYLET EYE DROPSPA HRMPA HRMPA HRMPA HRMAlpha-adrenergic Blocking Agentsphenoxybenzamine hcl 10 mgcapprazosin 1 mg capsuleprazosin 2 mg capsuleprazosin 5 mg capsule1111122ST2QL 120/303STAminosalicylates4APRISO ER 0.375 GRAMCAPSULEASACOL HD DR 800 MGTABLETbalsalazide disodium 750 mg cpCANASA 1,000 MGSUPPOSITORYDELZICOL DR 400 MGCAPSULEDIPENTUM 250 MGCAPSULELIALDA DR 1.2 GM TABLETmesalamine 4 gm/60 ml enemamesalamine 4 gm/60 ml kitmesalamine 800 mg dr tabletPENTASA 250 MG CAPSULEPENTASA 500 MG CAPSULE111Aminoglycosidesamikacin sulf 1 gram/4 ml vialamikacin sulf 500 mg/2 ml vialGENTAK 0.3 % EYEOINTMENTgentamicin 0.1% creamgentamicin 0.1% ointmentgentamicin 0.3% eye dropsgentamicin 0.3% eye ointmentgentamicin 10 mg/ml vialgentamicin 20 mg/2 ml vialgentamicin 70 mg/ns 50 ml pbgentamicin 80 mg/2 ml vialgentamicin 80 mg/ns 100 ml pbgentamicin 90 mg/ns 100 ml pbgentamicin ped 20 mg/2 ml vialiso gentamicin 100 mg/100 mlisoton gentamicin 100 mg/50 mlisoton gentamicin 60 mg/50 mlisoton gentamicin 80 mg/100 mlisoton gentamicin 80 mg/50 mlneomycin 500 mg tabletneomy-polymyxin b 40 mg/mlampparomomycin 250 mg capsulestreptomycin sulf 1 gm vialtobramycin 0.3% eye dropsDrug RequirementsTier/ Limits1111111111111111111111333211133QL 120/30ANADROL-50 TABLEToxandrolone 10 mg tablet44oxandrolone 2.5 mg tablet1PAPA,QL60/30PA,QL120/30Anabolic SteroidsAnalgesics11112BUPAP 50 MG-300 MGTABLET1butalb-acetamin-caff 50-300-401butalb-acetamin-caff 30

2018 Comprehensive FormularyDrug Namebutalbit-acetaminophen-caff cpDrug RequirementsTier/ Limits1butalbital-acetaminophn 50-3001butalbital-acetaminophn 50-3251butalbital-asa-caffeine cap1CAPACET CAPSULE1ESGIC CAPSULE1FIORINAL 50-325-40 MGCAPSULEMARGESIC CAPSULEMARTEN-TAB 325-50 TABLETTENCON 50-325 MG TABLETZEBUTAL 50-325-40 MGCAPSULEDrug QL 90/303QL 30/302QL 150/3022QL112.5/30QL 150/303BPANDROXY 10 MG TABLETAXIRON 30 MG/ACTUATIONSOLNdanazol 100 mg capsuledanazol 200 mg capsuledanazol 50 mg capsuleDEPO-TESTOSTERONE 100MG/ML VLDEPO-TESTOSTERONE 200MG/MLMETHITEST 10 MG TABLETSTRIANT 30 MGMUCOADHESIVETESTIM 1% (50MG) GEL23BP1113BP3BP13QL 60/30testosteron cyp 1,000 mg/10 mltestosterone 12.5 mg/1.25 gramtestosterone 25 mg/2.5 gm pkttestosterone 50 mg/5 gram pkttestosterone cyp 200 mg/mltestosterone enan 200 mg/mlTESTRED 10 MG CAPSULE11111133QL300/30,BPQL 300/30QL 300/30QL 300/30QL 5/30BPAngioedema AgentsBERINERT 500 UNIT KITCINRYZE 500 UNIT VIAL44FIRAZYR 30 MG/3 MLSYRINGEKALBITOR 10 MG/ML VIAL44PAPA,QL100/30,B/DPA,QL18

What is the Cigna-HealthSpring RX PDP Comprehensive Drug List? A drug list is a list of covered drugs selected by Cigna-HealthSpring Rx (PDP) in consultation with a team of health care providers, which represents the prescription therapies believ