Important Announcement: Cigna U.S. Pharmacy Changes effective 01 January 2021

A few important points to highlight:

  • Express Scripts Pharmacy is Cigna's new home delivery pharmacy in the U.S. starting January 1, 2021. Please note: this change has no impact to prescriptions outside of the U.S. You can order a new home delivery prescriptions or manage your existing home delivery prescriptions by following the instructions about Express Scripts pharmacy services or call their customer service at 1 (800) 835-3784.
  • Cigna updated the insurance ID card with new RxPCN and RxGrp numbers for the U.S. pharmacies. You can access a copy of your new insurance e-ID card by logging in your Cigna Personal Webpage Account or the Cigna Health Benefits App. In an effort to go green Cigna will not be replacing your physical insurance ID card.
  • To fill a prescription, access your benefits and process your claims in the U.S, your pharmacists in the U.S. will need to use the new RxPCN and RxGrp numbers on your e-ID card, which is RXGRP NRBA, RX issuer (80840), Rx Bin 017010, and RX PCN 0216INTL.
  • Cigna updated the three tier prescription drug list for 2021. To search for a specific drug and its tier category (i.e., generic, preferred, or non-preferred brand), go to Cigna’s prescription drug list and select Legacy 3 Tier from the drug list drop-down menu.

 Coverage

All active, bridging and retiree participants are eligible for the prescription drug benefit.

Your medical card will serve as your drug card.

For outpatient prescription drugs received outside the United States and inpatient drugs received anywhere, claims are reimbursed by Cigna and treated the same as any other Plan expense. Submit your prescription drug claim electronically from your Cigna personal webpage account or by post mail. For information on submitting prescription drug claims to Cigna, please refer to the claim procedure.

For outpatient prescription drugs received in the United States, you must use a pharmacy in Cigna’s network of U.S. pharmacies. Most national pharmacies are in Cigna’s network. You will be required to present your Cigna ID card to the network pharmacist and pay your copay when obtaining prescriptions. If you do not use your card at the time of purchase, you will not receive the full amount of your reimbursement when you submit your claim because you will be charged the retail price rather than the Plan’s discounted price. 

You will pay a copayment each time a prescription is filled, and the copay amount depends upon whether your physician prescribes a generic drug, a preferred brand drug, or a non-preferred brand drug.

 U.S. Retail Pharmacy

For prescription drugs purchased in the United States, you must use a pharmacy in Cigna’s network of U.S. pharmacies. Most major pharmacies are in Cigna’s network. You are limited to a 30-day drug supply from the retail network pharmacy. For a 90-day supply, you will need to order prescription drugs from a mail order service program. Please note that prescriptions cannot be mailed to an address outside the United States, and AIARC cannot act as the recipient of mail order drugs.

Always present your Cigna insurance card to the pharmacy when obtaining your prescription drugs in the United States. The insurance card contains important information such as RXGRP NRBA, RX issuer (80840), Rx Bin 017010, and RX PCN 0216INTL that your pharmacist will use to fill a prescription, access your benefits and process your claims in the U.S. 

Cigna updated the insurance ID card with new RxPCN and RxGrp numbers for the U.S. pharmacies. You can access a copy of your new insurance e-ID card by logging in your Cigna personal webpage account or the Cigna Health Benefits app. In an effort to go green Cigna will not be replacing your physical insurance ID card.

Please note that if you do not use your card at the time of purchase, you will only be reimbursed up to 50% of the retail price. You must pay your copay when obtaining your prescription. Refer to the prescription drug table to learn about co-pay amounts. After you pay the applicable copay, Cigna will cover 100% of the drug costs. Your copays do not count toward the Plan’s Annual Deductible, Annual Maximum, Coinsurance and Out-of-Pocket (OOP) Limits.

 U.S. Mail Order

If you are in the United States, you are limited to a 30-day drug supply from your retail pharmacy. You are able to refill up to 90-day drug supply of your medication using the Cigna Home Delivery Pharmacy - Express Scripts. Please note that this home delivery program will not mail drugs to an address outside of the United States.

To search for a specific drug and its tier category (i.e., generic, preferred, or non-preferred brand), go to Cigna’s prescription drug list and select Legacy 3 Tier from the drug list drop-down menu.

The following chart provides the basic design of drug costs when orders are received by mail versus purchases made at the pharmacy.


    Prescription Drugs
    Costs in the U.S.

    Mail Order
    90 Day Supply

    Retail Pharmacy
    30 Day Supply

    Drug Category (Tier)

    CIGNA OAP Network
    (In-Network)
    CIGNA OAP Network
    (In-Network)
    CIGNA Non-OAP Network
    (Out-of-Network)

    Generic (Tier 1)*

    No copay No copay No coverage

    Preferred Brand (Tier 2)**

    $50/Rx copay
    $25/Rx copay No coverage

    Non-Preferred Brand (Tier 3)***

    $160/Rx copay
    $80/Rx copay No coverage

*Tier 1 — Generic is equivalent to brand name drugs that can be purchased at discount.
**Tier 2 — Brand name drugs that can be purchased at discount.
***Tier 3 — Brand name drugs that are not discounted by drug manufacturer.

 Frequently Asked Questions

This section provides you with answers to the most frequently asked questions about the Prescription Drug Plan.

Do the prescription drug copayments made for purchases in the United States apply toward my annual medical deductible or yearly out-of-pocket maximum?
No. After you pay the applicable copay, Cigna will cover 100% of the drug costs. Your copays do not count toward the Plan’s annual deductible, annual maximum, coinsurance, or out-of-pocket (OOP) limits.

If I know the brand name of my drug, where can I find information about generic equivalents?
You can search for a specific drug and its tier category (i.e., generic, preferred, or non-preferred brand) using Cigna’s prescription drug list and select Legacy 3 Tier from the drug list drop-down menu.

Why do I need to use my Cigna card when purchasing drugs?
To receive discounted prices, you must use your Cigna card, which contains the information (RX bin, issuer, PCN and reference number) required by U.S. pharmacies.

Can I have my medicine mailed to me outside of the United States?
No. Drugs cannot be mailed to an address outside of the United States, and AIARC cannot act as the recipient of mail order drugs.