Pharmacy
We're here to help you with your pharmacy management and prescription questions, no matter what you need.
Pharmacy Resources for Health Care Providers
Take a look at the following pages, resources, and contact information to help with your pharmacy-related questions.
| What do you need? | Contact information | Please have ready... |
|---|---|---|
| Visit the Express Scripts Pharmacy Resource Center |
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To request a missing 835 Reconciliation report or inquire about a remit set up or status please email [email protected]. | Visit the Express Scripts Provider Portal |
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| Email Express Scripts' Network Credentialing teams (for Commercial Retail Networks and Medicare Part D) |
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| Email Express Scripts' Provider Contracting | Completed documentation |
Need more assistance?
Call the Express Scripts Pharmacy Help Desk at 1 (800) 922-1557. They are available 24/7 for Medicare Part D and transitioned Commercial plans.
How to Request Pharmacy Precertifications
Depending on your patient's health plan, you may be required to submit a precertification or prior authorization request for any number of prescriptions. For more information on the process and a list of precertification codes, visit the precertification page.
Pharmacy Outreach Program
Our pharmacy outreach programs provide you with information about your patient's pharmaceutical treatment patterns and options. These programs can help you improve outcomes and avoid unintended drug consequences.
How does Pharmacy Outreach work?
If you have patients who are Cigna Healthcare customers and who meet the criteria for a pharmacy outreach program, we'll send you a notification letter with the patient's clinical history. A Cigna Pharmacy Management® pharmacist may call you to discuss the patient's information.
These pharmacy outcome improvement programs are just three examples of the sort of outreach your patients might benefit from.
- Cholesterol Treatment to Goal - People who reduce their LDL cholesterol levels may also lower their risk of heart attack. We use medical, pharmacy and laboratory claims data to help identify members who are taking lipotropic medications, but who may not be reaching their National Cholesterol Education Program (NCEP) LDL cholesterol targets. When you talk to your patients, stress the importance of taking medications as prescribed, as well as the importance of regular cholesterol testing through labs that participate in their Cigna Healthcare plan's network.
- Asthma Management - The National Heart, Lung, and Blood Institute asthma care guidelines recommend controller therapy for most people diagnosed with asthma. To help prevent asthma complications, we help identify members who have frequently filled prescriptions for short-acting beta-agonist inhalers, but have not filled prescriptions for controller therapy. We also provide you with customer information to help you have an enhanced treatment picture. Our approach has had positive results. Talk with your patients about helping to control their asthma by adding controller therapy to short-acting, beta-agonist inhalers when indicated.
- Depression Management - This improvement opportunity integrates data from medical, behavioral and pharmaceutical services to help identify opportunities to improve member adherence to prescribed treatment. The data identifies opportunities for improvements measured by diagnosis, length of therapy and medication waste. Talk with your patients about the importance of adhering to their prescribed course of treatment.
