PRESCRIPTION DRUG PRICE QUOTE TOOL - Allegiance

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With the Prescription Drug Price Quote tool, you can maximize your pharmacy benefits and learn how to lower your out-of-pocket costs – online.

• Reviewreal-timedrugpricinginformationbasedonyourpharmacybenefitplan

• Viewside-by-sidedrugpricingforuptothreeretailpharmacies• IdentifypotentialcostsavingsthroughCignaHome

DeliveryPharmacySM1

• Discovergenericandlow-costtherapeuticdrugalternatives• Learnaboutyourcondition(s)andthemedication(s)youmay

betaking,andhowtodiscussconcernswithyourdoctor• Ifyouhaveasmartphone,youcanalsoaccessthetoolthrough

Cigna’smobileapp

Maximize pharmacy coverage and minimize costs.

Log in at www.askallegiance.com/hhsys and find the tool

TherearetwowaystogettothePrescriptionDrugPriceQuotetool:ClickonEstimate Health Care Costsinthebanneratthe

879656 09/14 Offered by: Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and their affiliates.

Step 1: Find a drug

Searchforadrugbyname,drugclassorcondition,orchooseadrugfromthedrop-downlist.

topofthepageorundertheI want to...sectionatthebottom,clickonGet a Drug Price Quote.

UnderPrescription Drug Price Quote tool,chooseacustomernamefromthedrop-downandclickGO.

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https://my.cigna.com/...Sg1aQ9UDBSIgH79oYf_ACj_og_oqrMuZMH0aI9Gb8XWN0k!/dl3/d3/L2dJQSEvUUt3QS9ZQnZ3LzZfSThNNkk4SzBHT1NRRDBJMkhEOVIzNTE4SjQ!/[7/31/2013 12:31:19 PM]

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PRESCRIPTION DRUG PRICE QUOTE TOOLCOmPaRE DRUG PRICES ONLINE

Step 2: Select a dosage/quantity

Onceyou’veselectedadrug,thenchooseyourdosageandform,andenterthequantityandfrequency,thatyoutake(suchashowmanytabletsyoutakeperdayorweek.)

Step 4: Compare prices

Viewaneasy-to-readcomparisonofpricesforthedrugyouselected,availablegenericsandlower-costalternativesatyourselectedpharmaciesandCignaHomeDeliveryPharmacy.

Printyouroptionsalongwithachecklisttodiscusswithyourdoctor.

1. Applicable only if Cigna Home Delivery Pharmacy is part of your benefits plan.

“Cigna,” and the “Tree of Life” logo are registered service marks and “Cigna Home Delivery Pharmacy” is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C., and HMO or service company subsidiaries of Cigna Health Corporation.

Step 3: Select a pharmacy

Viewalistofretailpharmaciesnearyourhomezipcodeorotherselectedlocation.Aninteractivemappinpointseachpharmacy.Chooseuptothreepharmacies,andclickCompare Prices.Or,youcanskipthisstepandgetpricingjustforCignaHomeDeliveryPharmacy.

Other features to help you:

-“SpecialAlerts”providesinformationaboutyourbenefits,suchascoverage,priorauthorization,StepTherapyprograms,deductiblerequirementsandmanyotherprogramsspecifictoyou

-QuicklinktoCignaHomeDeliveryorderingonline

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Home Estimate Health Care Costs Cost Estimates

1. Find a Drug 2. Select a Dosage/Quantity 3. Select a Pharmacy 4. Compare Prices Want to start over?Find a new drug.

How are these prices calculated? Disclaimer Print this report

AVAILABLE THROUGH YOU PAY/PLAN PAYS SAVINGS/YEAR

Please note these special alerts Watch for these special messages

PHARMACY AEAST STREET My Town, USA

you pay: $179.21/monthplan pays: $.00/monthtotal cost: $179.21/month

Please note these special alerts

PHARMACY BWEST STREETMy Town, USA

you pay: $179.21/monthplan pays: $.00/monthtotal cost: $179.21/month

CIGNA HOME DELIVERYPHARMACYOrder at Cigna HomeDelivery Pharmacy

Please note these special alerts

you pay: $161.27/month *plan pays: $.00/monthtotal cost: $161.27/month

save $215.24/year

*You must purchase a 90-day supply (your cost $483.82) to get this price.

Drug B TAB 80MG1 Tablet once a day (in the evening)68382006910

See more information about thisdrug

Drug Coverage Information: This isa covered drug. This option requiresa new prescription. Print this reportand bring it to your physician todiscuss which option may be rightfor you.

PHARMACY BWEST STREETMy Town, USA

you pay: $.00/monthplan pays: $11.00/monthtotal cost: $11.00/month

save $2150.52/year

PHARMACY A54 EAST STREETMy Town, USA

you pay: $.00/monthplan pays: $12.66/monthtotal cost: $12.66/month

save $2150.52/year

you pay: $.00/month *plan pays: $6.06/monthtotal cost: $6.06/month

save $2150.52/year

*You must purchase a 90-day supply (your cost $.00) to get this price.

Cost Estimates

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Drug A TAB 10MG1 Tablet once a day00310075190

Easy link to order at Cigna Home Delivery Pharmacy

myCigna - Cost Estimates

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Home Estimate Health Care Costs Cost Estimates

By Zip Code By Address

A: PHARMACY AEast StreetMy Town, USA

B: PHARMACY B West StreetMy Town, USA

C: PHARMACY C

D: PHARMACY D

E: PHARMACY E

1. Find a Drug 2. Select a Dosage/Quantity 3. Select a Pharmacy 4. Compare Prices Want to start over?Find a new drug.

Select up to 3 pharmacies using the tools below. Or, view pricing for CIGNA Home Delivery Pharmacy only.

Enter a Zip Code and mile radius to locate pharmacies in that area.

2.25 Miles 4.25 Miles 6 Miles 8 Miles

Choose up to 3 pharmacies for which to compare prices

We found 7 pharmacies within 2.25 miles of 01056

Pharmacy Name Distance

more pharmacies: 1 2Report a map error

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Cost Estimates

ESTIMATE HEALTH CARECOSTS MANAGE MY HEALTH

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