Most recent Cigna/Express Scripts formulary updates reviewed: January 2026 Cigna Plans & Express Scripts Unlike BCBS (which operates as 33 independent affiliates), Cigna operates nationally through Express Scripts, its pharmacy benefit manager (PBM)
References Sloan, G., Selvarajah, D
Through its effects on appetite, digestion, and blood sugar control, it allows patients to achieve meaningful weight loss in a safe and controlled way
The most common side effects include: Abdominal pain Acid reflux and heartburn Gas/bloating Constipation Diarrhea Headaches Nausea Vomiting In some cases, these side effects may subside as your body adjusts to the medication
Keep the container closed and away from excess heat, bathroom moisture, and direct light