{"id":634158,"date":"2025-11-04T10:34:39","date_gmt":"2025-11-04T15:34:39","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=634158"},"modified":"2025-11-04T10:34:39","modified_gmt":"2025-11-04T15:34:39","slug":"does-cigna-cover-contrave","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-cigna-cover-contrave\/","title":{"rendered":"Does Cigna cover Contrave?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/contrave\"><span style=\"font-weight: 400;\">Contrave<\/span><\/a><span style=\"font-weight: 400;\"> is a prescription drug that contains naltrexone and bupropion to help with <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/contrave-weight-loss\/\"><span style=\"font-weight: 400;\">weight loss<\/span><\/a><span style=\"font-weight: 400;\">. It\u2019s approved by the Food and Drug Administration (FDA) for weight management in adults 18 years and older with a body mass index (BMI) of 30 or higher, or 27 or higher with weight-related health conditions like <\/span><a href=\"https:\/\/www.singlecare.com\/resources\/diabetes\"><span style=\"font-weight: 400;\">diabetes<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/resources\/hypertension\"><span style=\"font-weight: 400;\">high blood pressure<\/span><\/a><span style=\"font-weight: 400;\">. Many insurance plans don\u2019t cover weight-loss medications even if they\u2019re FDA approved. If they do cover them, they often require prior authorization or other criteria before covering a drug like Contrave.\u00a0<\/span><\/p>\n<h2 id=\"does-cigna-cover-contrave\"><span style=\"font-weight: 400;\">Does Cigna cover Contrave?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Coverage for Contrave will depend on the plan. Some Cigna plans may cover Contrave, but it isn\u2019t automatic. If it is covered, it may need prior authorization, which means your healthcare provider has to send information to Cigna to show that the medication is medically necessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cigna generally approves Contrave for an initial <\/span><a href=\"https:\/\/static.cigna.com\/assets\/chcp\/pdf\/coveragePolicies\/pharmacy\/ip_0420_coveragepositioncriteria_weight_loss_medications.pdf\"><span style=\"font-weight: 400;\">four-month period<\/span><\/a><span style=\"font-weight: 400;\"> for patients who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are at least 18 years old<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have already tried diet changes and lifestyle changes for at least three months<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a body mass index (BMI) is 30 or higher, or 27 or higher with a <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2024\/200063s022lbl.pdf\"><span style=\"font-weight: 400;\">weight-related medical condition<\/span><\/a><span style=\"font-weight: 400;\">, such as Type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, or heart disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are using Contrave alongside a reduced-calorie diet and regular physical activity<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For people continuing treatment, Cigna may extend coverage for up to one year if they:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are 18 years or older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Met the BMI requirements when they first started Contrave\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have lost at least 5% of their starting body weight after the first four months<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Continue to follow dietary and lifestyle changes while taking the medication<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Exclusions also apply. Cigna will not approve Contrave if you\u2019re taking it at the same time as other weight-loss medications, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/wegovy\"><span style=\"font-weight: 400;\">Wegovy<\/span><\/a><span style=\"font-weight: 400;\"> (semaglutide), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zepbound\"><span style=\"font-weight: 400;\">Zepbound<\/span><\/a><span style=\"font-weight: 400;\"> (tirzepatide), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/saxenda\"><span style=\"font-weight: 400;\">Saxenda<\/span><\/a><span style=\"font-weight: 400;\"> (liraglutide), or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phentermine-hcl\"><span style=\"font-weight: 400;\">phentermine<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/contrave-vs-wegovy\/\"><b>Contrave vs. Wegovy<\/b><\/a><\/p>\n<h2 id=\"how-much-is-contrave-without-insurance\"><span style=\"font-weight: 400;\">How much is Contrave without insurance?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The price of Contrave can vary when paying out of pocket. Without insurance, the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/contrave-without-insurance\/\"><span style=\"font-weight: 400;\">average retail price<\/span><\/a><span style=\"font-weight: 400;\"> can be more than $800 for a monthly supply of Contrave taken at a maintenance dosage of two tablets in the morning and two in the evening.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Contrave is only available as a brand-name drug, which can make it inaccessible for many people who prefer the lower cost of generic drugs. However, it\u2019s possible to save on the cash price of Contrave through different savings options like a prescription discount card.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Contrave with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tContrave 8 mg naltrexone, 90 mg bupropion (120 Tablets)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$613.45<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/contrave#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/contrave#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$613.45<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/contrave#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/contrave#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/contrave#blog-cta\" class=\"coupon-see-all-btn\">See Contrave prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t<\/span><\/p>\n<h2 id=\"how-much-does-contrave-cost-with-cigna\"><span style=\"font-weight: 400;\">How much does Contrave cost with Cigna?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">How much a person pays for Contrave with Cigna depends on the insurance plan and where Contrave falls on the formulary or prescription drug list. Many Cigna Healthcare plans that cover Contrave may put it on a higher tier, especially since it\u2019s a brand-name drug.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Weight loss medications are <\/span><a href=\"https:\/\/www.cigna.com\/static\/www-cigna-com\/docs\/medicare\/plans-services\/2025\/eoc-extra.pdf?utm_source=chatgpt.com\"><span style=\"font-weight: 400;\">excluded from Medicare drug coverage<\/span><\/a><span style=\"font-weight: 400;\"> by law, so expect to pay the full retail price if you have Medicare.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicaid coverage through Cigna varies by state since each state has its own preferred drug list. Contrave coverage, therefore, depends on local regulations. Some states provide coverage for certain obesity treatments, while others might not cover any at all.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Drug coverage through insurance also depends on meeting annual deductibles. Patients may need to pay full retail prices if they haven\u2019t reached their deductible amount for the year.<\/span><\/p>\n<h2 id=\"how-to-check-whether-your-cigna-plan-covers-contrave\"><span style=\"font-weight: 400;\">How to check whether your Cigna plan covers Contrave\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Patients can always contact their insurance company directly to see <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/healthcare-defined-copay\/\"><span style=\"font-weight: 400;\">copay amounts<\/span><\/a><span style=\"font-weight: 400;\"> and coverage requirements before starting treatment. Insurance plan documents also have details about the coverage policy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s possible to find out which drugs are covered through Cigna\u2019s website. Members can log in to the myCigna portal and use the &#8220;Price a Medication&#8221; tool to see the prescription medications covered under their plan.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Members can also call customer service on their ID card for more information about their coverage. An agent can explain which medications are covered and the specific coverage requirements of the plan.<\/span><\/p>\n<h2 id=\"how-to-save-on-contrave\"><span style=\"font-weight: 400;\">How to save on Contrave<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Even with insurance, Contrave can be costly. For those without insurance, it can be difficult to access this treatment at all. However, there are several ways to save on Contrave, such as discount cards, patient assistance programs, or choosing a different medication.\u00a0<\/span><\/p>\n<h3 id=\"use-a-singlecare-discount-card\"><span style=\"font-weight: 400;\">Use a SingleCare discount card<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">free discount card from SingleCare<\/span><\/a><span style=\"font-weight: 400;\"> could help lower costs at participating pharmacies nationwide. You can download the card online and show it to your pharmacy when picking up your refill to potentially save each month. You can also use the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/use-singlecare-app\/\"><span style=\"font-weight: 400;\">SingleCare app<\/span><\/a><span style=\"font-weight: 400;\">. However, the SingleCare discount can\u2019t be combined with insurance copay benefits, so it\u2019s best to compare the SingleCare discounted price with your insurance copay to see which option costs less.<\/span><\/p>\n<h3 id=\"check-for-patient-assistance\"><span style=\"font-weight: 400;\">Check for patient assistance<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The manufacturer of Contrave, Currax Pharmaceuticals LLC, may occasionally offer <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/patient-assistance-programs\/\"><span style=\"font-weight: 400;\">patient assistance programs<\/span><\/a><span style=\"font-weight: 400;\"> to help patients save on the medication. These programs are typically income-based, and individuals may be eligible by meeting specific criteria.\u00a0<\/span><\/p>\n<h3 id=\"shop-around-at-different-pharmacies\"><span style=\"font-weight: 400;\">Shop around at different pharmacies<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The cost of Contrave can vary depending on the pharmacy. For example, large chain pharmacies, independent pharmacies, and mail-order pharmacies can differ in their pricing for Contrave. Therefore, it can be helpful to compare the retail price at different pharmacies. With SingleCare, you can compare the potential costs of Contrave at pharmacies closest to you.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/resources\/weight-loss\"><b>Weight Loss Coupons &amp; Resources<\/b><\/a><\/p>\n<h3 id=\"ask-a-healthcare-provider-for-an-alternative\"><span style=\"font-weight: 400;\">Ask a healthcare provider for an alternative<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If it\u2019s still difficult to get Contrave with or without health insurance, a prescribing healthcare provider can recommend a different weight loss medication that may be more affordable. Some <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/contrave-alternatives\/\"><span style=\"font-weight: 400;\">Contrave alternatives<\/span><\/a><span style=\"font-weight: 400;\"> might also have better insurance coverage or lower copay amounts. Other options might include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/qsymia\"><span style=\"font-weight: 400;\">Qsymia<\/span><\/a><span style=\"font-weight: 400;\"> (extended-release phentermine-topiramate) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/xenical\"><span style=\"font-weight: 400;\">Xenical<\/span><\/a><span style=\"font-weight: 400;\"> (orlistat).<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Contrave is a prescription drug that contains naltrexone and bupropion to help with weight loss. It\u2019s approved by the Food and Drug Administration (FDA) for weight management in adults 18 years and older with a body mass index (BMI) of 30 or higher, or 27 or higher with weight-related health conditions like diabetes or high [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":634164,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[608,9825],"coauthors":[8669],"class_list":["post-634158","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-health-insurance","tag-weight-loss","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does Cigna cover Contrave?<\/title>\n<meta name=\"description\" content=\"Cigna may cover Contrave if patients meet specific criteria, like BMI requirements and failure to lose weight by other means. 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