Sedative-Hypnotic- Non-Barbiturate - Cigna - Drug List
Zolpidem tartrate ER, Not Covered, Ambien CR (PA, ST)*, Not Covered, 6.25MG Tab Mphase, Sedative-Hypnotic- Non-Barbiturate. zolpidem tartrate, Not.
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* PA Prior Authorization may be required. Certain prescription drugs require an authorization for coverage in accordance with appropriate treatment regimen. Please refer to your benefit plan or contact member services for details regarding Prior Authorizations.
* ST Step Therapy, a component of Prior Authorization, may be required. Certain prescription drugs require the use of a pre-requisite medication before coverage for the Step Therapy medication is allowed. Please refer to your benefit plan or contact member services for details regarding Step Therapy.
The C igna HealthCare prescription drug list can help you find information about medications covered by C igna HealthCare benefit plans.
Some generic and brand name drugs may have identical names, however, those shown in the Generic column are the generic equivalents to the brand versions. The copay or coinsurance levels for those drugs listed in the Generic column are subject to the Generic copay or coinsurance level, which is generally lower than that of their Brand drug counterparts.
* Certain availability restrictions apply to medication marked with an asterisk. The restrictions are shown below:
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