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CignaCommercial · Coverage · Coverage · Oncology, Rheumatology, Hematology +2 moreHigh impact

Cigna Pathwell Specialty: Changes to the drug list

Act
immediately
Effective date
Feb 9, 2026
Identified
Jun 18, 2026

Summary

Cigna Pathwell Specialty has expanded their drug list with 25 new specialty medications (most recently added February 9, 2026) and removed 4 drugs. Patients must receive these specialty drugs from Cigna Pathwell Specialty Network providers for coverage, with no out-of-network benefits except rare case-by-case exceptions.

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What to do

immediately · 4 steps
01Billing team must verify provider participation in Cigna Pathwell Specialty Network for patients requiring any of the 25 newly added specialty drugs (including Enoby, Exdensur, Hympavzi, Xtrenbo, and Rybrevant Faspro added February 9, 2026).
02Update patient scheduling to ensure specialty drug administration occurs only at network-participating facilities.
03Check CignaforHCP.com regularly for updated drug list.
04Claims will be denied if drugs are administered by non-network providers.

Original notice

Cigna Pathwell Specialty: Changes to the drug list
providernewsroom.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Cigna policiesOncologyRheumatologyHematologyEndocrinologyGastroenterology

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