All PlansCoverageMedium impact
View drug benefit details using real-time benefit check
Cigna·Coverage
Effective date
Apr 1, 2024
We identified it
Jun 19, 2026
Summary
Cigna now provides real-time benefit check functionality that allows providers to view patient-specific drug benefit information directly through their EMR/EHR system during ePrescribing. This includes cost shares, therapeutic alternatives, coverage status (prior auth, step therapy, quantity limits), and channel options for prescription fills.
Action Required
Providers should contact their EMR/EHR vendor to ensure they have the most current system version and are contracted with Surescripts to access the real-time benefit check functionality. This will enable viewing of drug benefit details during the ePrescribing process to improve prescription decision-making and patient cost transparency.