Online Submission

You can submit an online prior authorization request for any member who has Cigna prescription coverage. Submissions can be for prescription drugs covered either by the Cigna pharmacy benefit or the Cigna medical benefit.

Medicare Prescription Forms – PDP

Cigna offers Part D prescription drug plans to Medicare-eligible individuals.

Medicare Prescription Forms – MAPD

Cigna offers Medicare Advantage prescription drug plans to Medicare-eligible individuals.

State Specific Forms

You can submit an online prior authorization request for any member who has Cigna prescription coverage. Submissions can be for prescription drugs covered either by the Cigna pharmacy benefit or the Cigna medical benefit.

General Drug Prior Authorization Forms

These forms would apply for individuals covered by an individual/family plan or through their employer on a non-Medicare plan.

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