Drug formulary updates effective July 1, 2026
AI Summary
Cigna Healthcare is updating its commercial drug formularies effective July 1, 2026, prioritizing biosimilar medications over reference biologics and removing select high-cost brand medications to promote lower-cost alternatives. The changes will affect medication coverage and may require patient transitions to covered alternative medications with updated prior authorization requirements.
Action Required
Before July 1, 2026: Billing team must review the complete formulary changes list on CignaforHCP.com and update prior authorization workflows for affected medications. Providers should prepare to assist patients with transitioning to covered biosimilar and lower-cost alternative medications. Clinical staff should verify coverage for high-cost biologics and brand medications before prescribing.
Plan Types
Commercial
States
TX, LA
Specialties
all-specialties