Order History: Below are up to five of your recent CIGNA Tel-Drug orders from the past 15 months. Click on the individual reference item within the "Reference Number" column for more information about a specific order. Reference Number Received Date Number of Prescriptions Order Status         Telephone 10/20/2003 1 Shipped 10/21/2003 Mail 08/09/2003 1 Shipped 08/12/2003 Telephone 07/27/2003 1 Shipped 07/28/2003 Telephone 05/29/2003 1 Shipped 05/29/2003 Telephone 05/10/2003 1 Shipped 05/12/2003  View all order history.

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Please review your plan documents for full details, including exclusions, limitations and state mandates that might affect the benefits described below.

Pharmacy Services Generic Preferred Brand Non-Preferred Brand Pharmacy Copayments Retail Copay (30 Day Supply) $10.00 $30.00 $50.00 Mail Order Copay (90 Day Supply) $20.00 $60.00 $100.00