Forms & MRF Files

Cigna Forms & Programs

Frequently Used

All Others

CignaRx - Cigna Pharmacy Service Center                  

If a member fills a script and pays out-of-pocket while the eligibility is being loaded with Cigna, please have the member complete the below and return it along with a copy of their pharmacy receipt to the address on page 2 and a reimbursement will be issued.

  • Prescription Drug Claim Form - English

Aetna Programs                  

Transparency In Coverage - Machine Readable Files

In-Network Files

Out-Of-Network Files

  • Reliant
  • Zelis

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