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If you or your prescriber do not obtain approval, the drug may not be covered. Get answers to common questions about Cigna's Medicare formulary.
Please Note: This form is intended for prescriber use to request a Formulary.
Exception, Prior Authorization or Step Therapy Exception for CIGNA Medicare. Failure to complete this form in its entirety may result in an adverse determination for insufficient . Find your Cigna-Health Spring Medicare insurance plan. For certain prescription drugs, Cigna-Health Spring requires prior authorization.
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