Key
C | Covered - No restrictions |
Q | Has quantity limits |
S | Has step therapy |
P | Has prior authorization |
N | Not Covered |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| P | P |
| N | N |
| N | N |
| Q | N |
| N | N |
| P | P |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| P | N |
| Q | Q |
| Q | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| N | N |
| N | N |
| N | N |
| N | N |
| QP | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| Q | Q |
| N | C |
| N | N |
| P | C |
| N | N |
| N | N |
| Q | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| C | C |
| N | N |
| C | C |
| Q | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| N | N |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| Q | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| Q | Q |
| Q | Q |
| C S | N |
| C | N |
| Q | Q |
| N | N |
| N | N |
| N | N |
| QP | QP |
| N | N |
| N | N |
| N | N |
| N | N |
| C | N |
| C | N |
| C | N |
| N | N |
| C | N |
| C | N |
| Q | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| Q | Q |
| N | N |
| N | N |
| N | N |
| Q | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| N | N |
| N | N |
| N | N |
| N | N |
| QP | Q |
| N | C |
| C | N |
| N | N |
| N | N |
| Q | Q |
| C | Q |
| N | N |
| P | QP |
| N | N |
| N | N |
| C | Q |
| QP | QP |
| QP | QP |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| N | C |
| N | C |
| N | C |
| N | N |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| C | Q |
| N | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| P | P |
| N | N |
| C | Q |
| N | N |
| N | N |
| Q | Q |
| N | N |
| N | N |
| QP | QP |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| P | P |
| Q | Q |
| P | C |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| Q | Q |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| N | N |
| P | N |
| N | N |
| N | N |
| N | N |
| N | N |
| Q | Q |
| Q | Q S |
| N | N |
| N | N |
| N | N |
| N | Q |
| Q | Q |
| Q | C |
| N | N |
| N | N |
| N | N |
| N | N |
| P | N |
| C | C |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| C | C |
| N | N |
| Cigna Healthcare Assurance Rx (PDP) S5617-227 | Humana Basic Rx Plan (PDP) S5884-116 |
| N | N |
| N | N |
| N | N |
| N | N |
| QP | QP |
| N | N |
| N | N |
| N | N |
| N | N |
| Q | C |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |