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CignaCommercial · Prior Auth · Prior Authorization · Oncology, Hematology, Rheumatology +3 moreHigh impact

Cigna Specialty Care Options programs drug list expansion

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 18, 2026

Summary

Cigna expanded their Specialty Care Options (SCO) and SCO+ programs to include additional specialty injectable medications that require site-of-care review and prior authorization. The programs aim to redirect patients from higher-intensity settings like outpatient hospitals to less intensive sites when clinically appropriate.

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What to do

immediately · 4 steps
01Review the expanded SCO and SCO+ drug lists on CignaforHCP.com under Resources > Reimbursement and Payment Policies > Precertification Policies.
02Update prior authorization workflows to include the newly added specialty injectables (20+ new drugs added between April 2025 and February 2026).
03Ensure staff obtain prior authorization for these medications before administration.
04Monitor the drug list frequently as it changes with new FDA approvals.

Original notice

Cigna Specialty Care Options programs drug list expansion
providernewsroom.com · Always check the source before changing claims.
View original ↗

Related changes

See all Cigna changes →
Cigna Specialty Care Options programs drug list changesMediumEffective Sep 1, 2026 · Prior AuthorizationBrowse every Cigna change in the policy list

Related policy hubs

Cigna policiesOncologyHematologyRheumatologyNeurologyInfectious DiseaseEndocrinology

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