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All PlansAdministrativeMedium impact

Use the network

Cigna·Pharmacy
Effective date
Apr 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Cigna Healthcare requires providers to refer patients to in-network providers and use in-network pharmacies for specialty medications, including injectable medications, whenever possible. Accredo, a Cigna Healthcare company, is specifically recommended for specialty medications when medically appropriate.

Action Required

Action needed
By April 1, 2024: All staff must verify patient referrals go to Cigna Healthcare in-network providers before scheduling. Update referral workflows to check network status first. For specialty medications and injectables, prioritize Cigna Healthcare network pharmacies including Accredo when clinically appropriate. Document exceptions in patient records when out-of-network referrals are medically necessary.

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