October 29, 2024
Cigna Pathwell Specialty® is for patients using a specialty medication to treat a complex medical condition. As part of this in-network-only benefit plan option, certain medications must be administered by a provider who participates in the Cigna Pathwell Specialty Network or ordered from a participating specialty pharmacy to be covered.
Drug list expansion
We recently expanded the Cigna Pathwell Specialty Drug List to include the following drug(s):
Name | Date added |
PADCEV® | January 1, 2025 |
TRODELVY® | January 1, 2025 |
What this means
Patients with the Cigna Pathwell Specialty option who require a drug on the Cigna Pathwell Specialty list must have the drug administered by a Cigna Pathwell Specialty Network–participating provider. This will help ensure patients receive the maximum benefit coverage. Although there are no out-of-network benefits, there are times when a drug may be covered without moving a patient with Cigna Healthcare coverage to another infusion facility or provider; however, these exceptions are reviewed on a case-by-case basis.
To find a provider who participates in the Cigna Pathwell Specialty Network, visit Cigna.com and follow these steps to search the provider directory:
Additional information
The most current Cigna Pathwell Specialty Drug List is available on the Cigna for Health Care Professionals website (CignaforHCP.com). Please check this list often as it is updated periodically.
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