Cigna formulary 2013

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Lo Loestrin Fe should not be started any earlier than 4 weeks after delivery in women who are not breastfeeding. If jaundice occurs, treatment should be discontinued. Lo Loestrin Fe should not be prescribed for women with uncontrolled hypertension or hypertension with vascular disease. Women who are prediabetic or diabetic should be monitored while using Lo Loestrin Fe.

Alternative contraceptive methods should be considered for women with uncontrolled dyslipidemia. Patients using Lo Loestrin Fe who have a significant change in headaches or irregular bleeding or amenorrhea should be evaluated.

Lo Loestrin Fe should be discontinued during pregnancy. In the clinical trial for Lo Loestrin Fe, serious adverse reactions included deep vein thrombosis, ovarian vein thrombosis, and cholecystitis. Food and Drug Administration. Accessed February Data on file.

Allergan USA, Inc. Database as of March Data are subject to change. The Alan Guttmacher Institute. Fulfilling the promise: public policy and U. Obstet Gynecol. You are about to enter a site that is for U. FOR U. We've Got Your Patients Covered. Please enter a valid ZIP code. Filter your results in by plan type: Commercial. Health Exchange. Managed Medicaid. Yang and colleagues suggest that future studies that examine anxiolytic use in Medicare beneficiaries should focus on age, sex, and racial or ethnic differences among beneficiaries.

To shed further light on the coverage of anxiolytics and other classes of drugs, separate regression analyses were conducted, with the dependent variable defined as each therapeutic class Table 5. The only 2 classes that showed a significant difference with respect to the type of plan were the anxiolytic and respiratory drug classes, with the FEHBP providing broader drug coverage.

The independent variables used in these analyses ie, premium, tier, enrollment, copay, coinsurance, and therapeutic class had an effect on coverage differences between the 2 programs.

In addition, it is clear that coverage may be broader for one program versus another, but such coverage generosity depends on the therapeutic class. Regulation and other factors could possibly affect the inclusion of drugs on a formulary. With regard to premium, no significant differences were found.

A review of the literature revealed that premiums are heavily dependent on the degree of cost-sharing. Specifically, some authors note that deductibles have the greatest impact on premiums.

Perhaps including deductibles in the regression analyses would have resulted in significant differences for the variable premium. Furthermore, studies show that savings via cost-sharing result in decreased premiums, but the extent of savings depends on the type and the amount of cost-sharing. Future research that considers deductibles and fluctuations in cost-sharing may yield more significant premium-related results. Although fluctuations in cost-sharing were not explored, copay and coinsurance were included in the regression model as factors associated with the number of drugs covered per therapeutic class.

A positive association was found for the number of drugs covered per therapeutic class and the copay for the ADHD and anticancer drug classes. In addition, coinsurance was a significant predictor of the number of drugs covered per therapeutic class for ADHD, anticancer, and respiratory tract drugs.

The number of ADHD and anticancer drugs rose as coinsurance increased; yet, the number of respiratory covered drugs decreased as coinsurance increased.

This study shows that the relevance of individual therapeutic classes should be considered in the interpretation of cost-sharing findings. Therefore, both enrollees and plans can benefit from this type of benefit structure.

Beneficiaries pay more through higher copays and coinsurance, yet they receive more drugs as a result. Similarly, plans provide more drugs, yet beneficiaries use less. For the variable tier, a significant difference was found for the ADHD agent and anticancer agent classes. For both classes, the number of drugs per therapeutic class was greater for tier 2 brand-name drugs compared with tier 1 generic drugs. It is interesting that more brand-name drugs were listed on the formularies than generic drugs, considering that generic drug promotion is often used as a cost-containment measure.

Finally, variable enrollment was included in the regression analyses as a factor that would greatly affect the number of drugs per therapeutic class. For the initial overall model, enrollment was the single strongest predictor of the number of drugs per therapeutic class.

As enrollment increased, the number of drugs per therapeutic class grew. Specifically, an increase was shown in the anticancer agents; blood products, modifiers, volume expanders; CV agents; GI agents; and respiratory tract agents classes.

During that period, if enrollees dislike their plan for any reason, they can choose another plan without penalty. Results of the regression analysis revealed that for 5 therapeutic classes, enrollment was positive and statistically significant. Therefore, for these classes, as enrollment increased by 1 person, the number of drugs offered in these classes increased.

This finding becomes especially important during the discussion when prescription drug plan decision makers are trying to find ways to redesign themselves for improvement.

For example, from this finding, we can learn that as Medicare seeks to determine ways to contain costs, the best time to examine drug coverage is after the open enrollment season.

Furthermore, plans may find that after the open enrollment season, it is the best time to negotiate drug coverage with manufacturers. Plans can also tell enrollees that the list of drugs offered when they join will only increase after enrollment. The enrollees can benefit by knowing that the drugs in the anticancer agent; blood products, modifiers, volume expanders; CV agent; GI agent; and respiratory tract agent therapeutic classes will only increase in number after they join.

Bowman and colleagues examined formulary coverage in Medicare Part D plans for anticancer drugs, showing that the majority of cancer drugs were covered by almost all Medicare Part D plans. Consistent with previous research, our study also shows that Medicare Part D plans cover a large number of anticancer and CV drugs.

Although mostly found in published reports, broad coverage of formulary drugs has also been shown within therapeutic classes in the FEHBP. The reason that a drug is included on a formulary can be complex. Overall, the findings of the bivariate analysis in this present study revealed that the FEHBP provided broader drug coverage than the Medicare Part D program. Some of the results of the bivariate analysis disappeared in multivariate analysis, revealing only a small difference between the 2 programs and one that only persisted within specific therapeutic classes.

This difference in findings using the 2 different analytical methods may be useful to various groups. For example, consumers may be interested in the actual number and the kind of drugs on their formulary, so they may find the t -test results useful.

Other consumers may find copay and coinsurance to be important and may focus on regression results. Health plan providers may be more interested in how factors such as premium, copay, coinsurance, tier, and enrollment affect drug coverage as they make complex decisions on which drugs to include on their formulary.

Several limitations should be considered in interpreting the findings of this research. First, data were not available on the demographics of enrollees within each plan. Although factors such as age, income, sex, race, and employment status may affect the results, only the largest plans were used in this study, and clinical needs can be extrapolated from general populations.

Second, caution should be used in the interpretation of results that come from the cross-sectional nature of the data. Plans are subject to change over time. The data used in this research represent coverage in the year Therefore, these data may not capture the full impact of drug coverage in Many projections indicate that Medicare will not be able to deliver promised benefits to the next generation of retirees without making changes to the program.

Policymakers and healthcare professionals are interested in recommendations to address the anticipated needs of older persons. Important areas for future research in the comparison of these 2 programs are the role of demographic factors in prescription drug coverage, the market behavior of prescription drug plans, the impact of increasing oral drugs for classes once administered parenterally hence reduced costs , and health outcomes associated with drug coverage.

The author would like to thank Dr Ronald Ward for his invaluable support and review of this manuscript. This study was supported by funding from the PhRMA Foundation through a predoctoral fellowship in health outcomes. Dr Lovett has no conflicts of interest to report.

Policy analyses of in-place federal programs tend to wane over time, and it seems that ongoing policymaking often fails to sufficiently regard historical precedents. Reflective policymaking that is based on health services research is most important in today's healthcare system. By design, both programs rely on the marketplace with loose overarching regulatory structures. Over the years, the FEHBP has been known to be cost-saving for quality care, with high employee acceptance. Its functionality, nevertheless, extends beyond mere drug policies, because of the similar character of its participating plans that bid for contracts.

Medicare Part D plans share a heterogeneity, and it has taken a few years to become ready for health services research to assess the program's effectiveness and patient outcomes. This article by Dr Lovett nicely highlights the programmatic differences in plan coverage, enrollment, premiums, copayments and coinsurance, tiers, and therapeutic classes.

Yet, we should be mindful that the served populations differ dramatically families of federal employees vs the much more vulnerable aged and disabled. Further clinical studies on benefit design would serve to capture what works best in the ongoing marketplace tinkering with drug benefits that private and public payers are pursuing.

Such a direction may yield wisdom in formulating better policies for health insurance exchanges. Accountable care organizations ACOs could become experimental laboratories to test benefit designs for differing populations across the United States and across disease states. Pharmacy and Therapeutic Committees may be natural settings for initiating studies to address puzzling cost and care issues within formularies.

Evidence-based investigations should be aimed at being relevant to ongoing public policy implementation. It must be noted that the FEHBP provides more than an insurance mechanism; it is embedded within delivery of care systems, as hopes for the ACOs are also intended. Medicare Part D and the new drug benefit designs under the ACA, along with Medicaid programs, should be carefully scrutinized and critiqued as our nation more diligently embarks on the implementation of health reform.

Organized systems of care delivery have proved to be superior for population-based health, as better Medicare Advantage plans can demonstrate in learning from practice.

The FEHBP may be a possible model for addressing some drug coverage for savings in Medicare, but these 2 government programs are both complex and still differ greatly. The study's focus on varying uses in drug classifications and coverage point to the need for more detailed analyses in such investigations. Although issues remain on the suitability of FEHBP-type approaches eg, a more costly vulnerable patient group for Medicare reform, this study goes a long way to demonstrate that prudent means of reorganizing care through health services research are superior to political fiat for cost-cutting.

Am Health Drug Benefits. Author information Copyright and License information Disclaimer. Abstract Background There is much debate currently about how to restructure the Medicare program to achieve better value for the money.

With the looming increase in enrollees, the Medicare program will need restructuring to improve healthcare for less money. The FEHBP has been suggested as a model for Medicare Part D, because of its cost-saving strategies and quality services, but no comparisons of these 2 programs are available regarding their drug coverage, cost-savings, and quality of care.

Enrollment was the single strongest predictor of the number of drugs covered per therapeutic class; as enrollment increased, the number of drugs covered per therapeutic class increased. To avoid cutbacks in services, Medicare must explore ways to achieve better value for the money; the experience of the FEHBP suggests a possible means of accomplishing this objective. Open in a separate window. Limitations Several limitations should be considered in interpreting the findings of this research.

Acknowledgments The author would like to thank Dr Ronald Ward for his invaluable support and review of this manuscript. Author Disclosure Statement Dr Lovett has no conflicts of interest to report. References 1. Office of the Actuary. National Health Statistics Group; www. Washington, DC; August 5, Henry J. Kaiser Family Foundation.

Medicare chartpack: overview of Medicare Part D organizations, plans, and benefits by enrollment in and November Washington, DC; May12, Francis W. National Bipartisan Commission on the Future of Medicare. Building a better Medicare for today and tomorrow. March16, Using the federal employees' model: nine tests for rational Medicare reform Oberlander J.

J Health Politics Policy Law. Health Aff Millwood. August 7, Hoff J. Medicare Private Contracting: Paternalism or Autonomy? Rural Policy Brief. In Helms RB. Health Policy Reform: Competition and Controls. Peck B. Public Citizen's Congress Watch; Moon M. March 20, Is premium support the right medicine for Medicare?

Time to get serious again about Medicare reform, May 13, Cubanski J, Neuman P. Status report on Medicare Part D enrollment in analysis of plan-specific market share and coverage. The Medicare Drug Benefit. An in-depth examination of formularies and other features of Medicare drug plans.

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Your medication might have certain requirements, such as prior authorization, quantity limits, or step therapy. You can use the list to check for other medications that treat your condition. Not all prescription drugs are included on the drug list. In some cases, the law prohibits Medicare coverage of certain types of drugs.

In other cases, we have decided not to include a particular drug on our drug list because we may have an alternative drug that can be taken. Generic drugs have the same active ingredients as brand name drugs. Generic drugs usually cost less than brand-name drugs and are rated by the Food and Drug Administration FDA to be as safe and effective as brand-name drugs.

Medication Therapy Management. During a plan year, Cigna may make certain changes to our list of covered drugs. Most changes throughout the year will have a positive impact on customers such as adding new drugs to our drug list, removing restrictions, or moving a medication to a lower cost-sharing tier.

Plans are limited in their ability to make changes during the year that will have a negative impact on customers. A negative change would be removing a medication, moving it to a higher cost-sharing tier, or adding a new requirement. If there are negative changes, in most cases we will post a notice on this site before the change becomes effective.

If you are taking the medication with the change you will generally be notified on your Explanation of Benefits EOB statement.

We also may make a change when a new generic becomes available. From year to year our drug list may change. Medicare Advantage Enrollment Information Learn about your options to enroll using online forms, phone, mail, or fax.

Find Plan Documents Go straight to the plan documents and information you need. Provider and Pharmacy Directories View our Medicare provider and pharmacy directories. Premium Payment Options Explore different options to pay your plan premium. This information is not intended for people with group-sponsored plans provided by an employer. If you are in a group plan, please visit Group Plans Resources , call the telephone number on your Cigna ID card, or contact your plan administrator for more information.

All rights reserved. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Enrollment in Cigna depends on contract renewal. We'll provide an outline of coverage to all persons at the time the application is presented. Our company and agents are not connected with or endorsed by the U. Government or the federal Medicare program.

This is a solicitation for insurance. An insurance agent may contact you. Premium and benefits vary by plan selected. Plan availability varies by state. The city was the origin for several worldwide companies, like WEG electric motors and industrial electronics , Marisol clothing , Duas Rodas food seasoning , Malwee clothing , Menegotti construction equipment and many others. The city is the 3rd largest economy of the state. The festival is held in late January and attracts students and faculty from all over the world.

The program involves faculty and students recitals, orchestral and band performances, lessons and masterclasses. It is part of the popular festivals celebrated in that month in Santa Catarina state due to the German colonization in the region.

The first inhabitants of the city were the indigenous people of the Xokleng and the Kaingang. From Wikipedia, the free encyclopedia. Municipality in South, Brazil.

Archived from the original PDF on July 8, Retrieved August 1, Retrieved September 17, Norte Catarinense mesoregion of Santa Catarina , Brazil. Authority control. Germany Israel United States.

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Jessica baxter	Cost sharing for cancer patients in Medicare An important element link this analysis is that a drug is defined as a unique chemical entity. Access to cancer drugs in Medicare Part D: formulary placement and beneficiary cost sharing in Warren SalmonPhD. Health Flrmulary Reform: Competition and Controls.
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L.a humane society	The average number of PDPs per region has come down from a high of 56 in to 31 in weighted by regional enrollment. Abstract Background There https webmail much debate currently about how to restructure the Medicare program to achieve better value for the money. For example, cigna formulary 2013 sponsors now read more two plan options one basic and one enhanced instead of the three options offered in past years. To shed further light on the coverage of anxiolytics and other classes of drugs, separate regression analyses were conducted, with the dependent variable defined as each therapeutic class Table 5. Exhibit 1.
Cigna formulary 2013	585
Samuel shaw amerigroup community care	The number of ADHD and anticancer drugs rose as coinsurance increased; yet, the number of respiratory covered drugs decreased as coinsurance increased. Allergan USA, Inc. LOLO Some regions, however, have seen significant changes in their premiums relative to other regions. Exhibit 5.
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Premium Payment Options Explore different options to pay your plan premium. This information is not intended for people with group-sponsored plans provided by an employer. If you are in a group plan, please visit Group Plans Resources , call the telephone number on your Cigna ID card, or contact your plan administrator for more information. All rights reserved. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

Enrollment in Cigna depends on contract renewal. We'll provide an outline of coverage to all persons at the time the application is presented. Our company and agents are not connected with or endorsed by the U. Government or the federal Medicare program. This is a solicitation for insurance. An insurance agent may contact you. Premium and benefits vary by plan selected. Plan availability varies by state. Each insurer has sole responsibility for its own products. Medicare Supplement policies contain exclusions, limitations, and terms under which the policies may be continued in force or discontinued.

For costs and complete details of coverage, contact the company. This website is designed as a marketing aid and is not to be construed as a contract for insurance. It provides a brief description of the important features of the policy. Please refer to the policy for the full terms and conditions of coverage.

The benefits of this policy will not duplicate any benefits paid by Medicare. This policy will not pay benefits for the following:. This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six 6 months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six 6 month waiting period has already been satisfied.

Evidence of prior coverage or replacement must have been disclosed on the application for this policy. If You had less than six 6 months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. Selecting these links will take you away from Cigna. What is Medicare Supplement? What is Medicare Part D?

See all topics. Log in to myCigna. Find a Doctor. What is a formulary? Retrieved September 17, Norte Catarinense mesoregion of Santa Catarina , Brazil. Authority control. Germany Israel United States. Namespaces Article Talk. Views Read Edit View history. Help Learn to edit Community portal Recent changes Upload file. Download as PDF Printable version. Wikimedia Commons. View of the city from Morro da Boa Vista.

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