Citi Benefits Handbook
Covered Drugs
The following drugs and products are covered under the Citigroup Prescription Drug Program:
- Federal legend drugs;
- State-restricted drugs;
- Compound medications of which at least one ingredient is a legend drug not included on the compound exclusion list;
- Insulin;
- Needles and syringes;
- Over-the-counter (OTC) diabetic supplies (except blood glucose testing monitors);
- Oral and injectable contraceptives;
- Fertility agents (for members covered under the Citi medical and prescription drug plan only; no coverage is provided for a donor who is not covered under the Plan);
- Certain drugs used for hormone therapy such as testosterone, progesterone, and GnRH agonists (for FTtM) and estrogen, antiandrogens, and GnRH agonist (for MtF);
- Legend vitamins;
- Amphetamines used for ADHD, through age 18;
- Drugs to treat impotency, for males (quantity limits apply);
- Retin-A/Avita (cream only), through age 34; and
- Retin-A (gel), through age 34.
Some drugs require prior authorization, such as (this list is not all-inclusive):
- Legend anti-obesity preparations;
- Disposable insulin pumps and continuous blood glucose monitors
- Amphetamines used for ADHD, age 19 or over;
- Retin-A/Avita (cream only), age 35 or over; and
- Botulinum toxin type A or B (Botox/Myobloc).