Enhanced RxSavings Messenger

Helping you lower your patients’ drug costs

Medication adherence is vital to good health, but high out-of-pocket costs prevent some people from filling their medications. For example, one in four people ration their insulin due to cost, which may increase their health risk and the progression of the disease.*


About Enhanced RxSavings Messenger

Our drug conversion program, Enhanced RxSavings Messenger, can help reduce medication costs for our customers and help keep them on track to better health. The program enables providers to choose lower-cost, covered medications for their patients with Cigna-administered coverage.


How the program works

We may contact you by electronic medical record, fax, or phone if you have a patient with Enhanced RxSavings Messenger for whom you have prescribed a:

  • Brand-name drug for which there is a generic equivalent, or
  • Nonpreferred drug for which there is a lower-cost therapeutic alternative, or
  • Drug that is not covered.

You can decide if the lower cost alternative is right for your patient.


If you authorize an alternative drug, we’ll send you a follow-up confirmation letter, and your patient a notification letter, about the change. Both will include contact information to answer questions. If your patient uses Express Scripts Pharmacy®, our home delivery pharmacy, we will dispense the medication upon receipt of the authorization.


* Caffrey, Mary. Gathering Evidence on Insulin Rationing: Answers and Future Questions. American Journal of Managed Care, September 26, 2019.