Questions about your Tel-Drug plan?
Contact Customer Service

1.800.TEL.DRUG
(1.800.835.3784)
International call 1.605.373.0100.

Request a Price Quote


Use the form below to email us.

A Cigna Tel-Drug representative will respond via secure email. You'll receive instructions in the email account you list below explaining how to access secure email and how to open the representative's response.

* required field
Requestor's Information
Customer ID help... Employer Name
First Name Middle Initial
Last Name
Date of Birth
  /   /
mm / dd / yyyy
Home Phone
E-Mail
 
Patient's Information
Providing this information allows us to identify your benefits and provide an accurate quote.
 Same as Requestor
Member ID help...
First Name Middle Initial
Last Name
Date of Birth
  /     /  
mm / dd / yyyy
 
Please provide information about the prescription(s).
Drug Name Quantity for 90-Day Supply
Strength help...   Form
Will you accept a generic equivalent of this drug, if available? Yes No
Accepting a generic equivalent may lower your copayment.
Would you like quotes on other prescriptions for this member? Yes No
Would you like quotes on prescriptions for a different member? Yes No