Cigna
Provided by
Cigna Healthcare

Cigna Saver Rx (PDP)

2024 Plan S5617-359-000
2.5 of 5
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Plan overview

Estimated costs for this drug-only plan.
Monthly Premium

$20.30

Deductible (excludes tiers 1 and 2)
$545
Est. Annual Drug Savings
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Coverage limits
Initial
$5,030
Catastrophic
$8,000

Your drugs

Coverage details for prescriptions you add.
Check if your drugs and pharmacy are covered and see how much you may pay for refills.
Add your drugs and pharmacy →

Drug tier costs

This is what you may pay for each of your covered drug refills after the deductible has been met.
Deductible Coverage Level
30 days - Standard Retail
Preferred Generic
$10
Generic
$20
Preferred Brand
Deductible applies
Non-preferred
Deductible applies
Specialty
Deductible applies
Initial Coverage Level
30 days - Standard Retail
Preferred Generic
$10
Generic
$20
Preferred Brand
20%
Non-preferred
50%
Specialty
25%
Gap Coverage Level
30 days - Standard Retail
Preferred Generic
25%
Generic
25%
Preferred Brand
25%
Non-preferred
25%
Specialty
25%
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Still not sure?

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