Aetna drug list. It details which drugs are covered and any plan .

Aetna drug list Can the formulary \(drug list\) change? 3. (Aetna). alternatives for the Aetna Standard Plan 2024 Formulary Exclusions Drug List PREFERRED OPTIONS LIST FOR FORMULARY DRUG REMOVALS AND DRUGS COVERED ONLY WHEN PREFERRED OPTIONS ARE NOT CLINICALLY APPROPRIATE The preferred options listed below representation of available treatment options and do not necessarily represent clinical Specialty Preferred Drug Step Therapy List The drugs on this list require step therapy under the Aetna® Basic Control Plan. Aetna receives rebates from drug manufacturers that may be taken into account in determining its Preferred Drug List. Through your secure, personal account at Caremark. Search for covered drugs, costs and plan guidelines by entering the first 3 letters of a medicine name or logging in to your member website. We’ve compiled the Aetna Assure Premier Plus (HMO D-SNP) Medicare Part B Preferred Drug List below for your convenience. This video will help you better understand how to get the most coverage and savings out of your plan. Get details on your benefits and coverage, drug list and more. Products may be subject to plan-specific Precertification information Precertification applies to all benefits plans that include a precertification requirement. It details which drugs are covered and any plan In this document, we use the terms Drug List and formulary to mean the same thing. Rebates do not reduce the amount a member pays the pharmacy Medicare Part B Preferred drug list — Aetna Medicare Advantage plans that offer prescription drug coverage (MAPD) Some medically administered Part B drugs may have extra requirements or limits on coverage. For requests for drugs on the Aetna Specialty Drug List, call 1-866-814-5506 or go to our Forms for Health Care Professionals page and scroll down to the Specialty Pharmacy Precertification (Commercial) drop-down menu. Aetna® is part of the CVS Health family of companies. If your plan only covers Aetna Medicare (List of Covered Drugs) GRP B2 4 Tier PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Health benefits and health insurance plans contain Search for in-network Aetna Medicare providers and approved pharmacies to make sure you get healthcare coverage that is tailored to your needs. If your medication is not on the preferred drug list or is on the preferred drug list but has limitations, you can: 1. Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. Drug list 10 Index of Drugs 194. 6 %âãÏÓ 40856 0 obj >stream hÞ”›_“äÆ}eç£ô£õàíÂMäŸ ¡`„$o„lJK†È§õòaD ¨‘h’1 î. Other covered benefits: Here is where you can find your benefits for over-the-counter (OTC) allowance, chiropractic services, diabetic supplies, fitness programs and more. For more recent information or other questions, please contact SilverScript Choice (PDP) Customer Care at 1-866-235-5660, 24 hours a day, 7 days Mail-order pharmacy 7. What are Stay up-to-date with your medicine. These drugs may be injected, infused or taken orally and may require special handling. important to check the Drug List for the new benefit year for any changes to drugs. If you continue using a drug listed Pharmacy benefits are administered by an affiliated pharmacy benefit manager, CVS Caremark. Are there any restrictions on my coverage? 4. With the Inflation Reduction Act, that lower copay is now $0. Brand-name medicine Analgesics . Aetna® Medicare (List of Covered Drugs) GRP B2 PLUS 4 Tier PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Once you choose your plan year and plan type, we’ll take you to our “Find a covered drug“ tool. The Kansas Medical Assistance Program (KMAP) has created a preferred drug list (PDL) to promote clinically appropriate utilization of pharmaceuticals in a cost-effective manner without compromising the quality of care. We would like to show you a description here but the site won’t allow us. This is a list of drugs that members can get in Aetna Better Health Premier Plan MMAI. Aetna Health Insurance Company of New York, Aetna Health Assurance Pennsylvania Inc. Drug List for the new benefit year for any changes to drugs. to 9 p. is a guide within select therapeutic categories for clients, plan members and health care providers. What are generic drugs? 4. A generic drug is a prescription drug that is approved by the Food and Drug Administration (FDA) as having the same active ingredient(s) as the brand-name drug. You'll find drug tiers and any special rules, like prior authorizations. 1 AA Medicare Part B preferred drug list Aetna Assure Premier Plus (HMO D-SNP) Some medically administered Part B drugs may have extra requirements or limits on coverage. Drug tier copay levels 9. Key terms and their definitions appear in the last Your Aetna ® prescription drug coverage comes with powerful coverage that, when used correctly, can help you save money. Products may be subject to plan-specific copayment or coinsurance, additional charges or other restrictions. NSAIDS § diclofenac sodium . What is the Aetna Medicare formulary? A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). document to make sure that it still contains the drugs you take. ZIP CODE. Or you This page outlines the Site of Care for Specialty Drug Administration policy and the medications to which this policy applies. This formulary is current as of 10/01/2023. Below is a list of medications that will not be covered without a prior authorization for medical necessity. Step therapy criteria lookup Preferred drug lists. Exclusion drug list (PDF) This list shows drugs that aren’t covered by your plan. For more recent information or other questions, please contact Aetna Medicare Member Services at . Aetna Medicare network pharmacy, and other plan rules are followed. 2024 Health Care Reform Preventive Drug List . Cox-2 Inhibitors § celecoxib . If you continue using Aetna Pharmacy Management administers, but does not offer, insure or otherwise underwrite the Your Aetna ® prescription drug coverage comes with powerful coverage that, when used correctly, can help you save money. Skip to main content. Or your doctor can fax a completed, signed form with a statement of medical necessity to 1-800-408-2386. 2025 Aetna Specialty Drug List. 893218-02-11 (10/24) The drugs on this list have been removed from your plan’s formulary. Speak with your doctor about switching to a similar medication that is on the preferred drug list. It’s important that you review the changes in the chart below. It can help you manage your medicines. Formulary key 9. Ask your doctor to choose one of the generic or brand preferred options listed below. Aetna® Medicare has a transition policy for prescription drugs you may be taking that aren't on our formulary (drug list) or are subject to new requirements. We’ve notified your impacted patients of these changes and suggested they talk to you about Medicare Resources: Covered Drugs Open Formulary Preferred drug list for the Aetna Medicare Rx Premier Plan (and certain Medicare Advantage Plans) Are your medications covered by the Aetna Medicare Rx SM. Aetna® Medicare formulary 7. • Their number is 1-800-414-2386 (TTY: 711). But you must have a prescription. Mail-order pharmacy 1. Step therapy. You’ll also learn more about the requirements and limitations of your pharmacy Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). 3 Tier [PDF] 4 Tier (injectable specialty medications covered on tier 4) During the review, you can also share reasons that the preferred drugs may not be medically appropriate for your patient’s unique medical needs. In this document, we use the terms Drug List and formulary to mean the same thing. The precertification and quantity limits This means they are covered 100% by your plan. It provides the criteria used to determine the medical necessity of hospital outpatient administration as the site of service for identified specialty medications (See Site of Care for Specialty Drug Infusion/Injection applicable drug therapy below. Aetna Rx Home Delivery is a licensed pharmacy subsidiary of Aetna Inc. , Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). 2025 Prescription Drug List Changes [PDF] 2024 Prescription Drug List Changes [PDF] Drug Lists by Tier Cigna Standard Prescription Drug List. 050418 For agent use only. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Drugs must also be filled at a plan network pharmacy. It’s likely some of your patients are taking these drugs. Health benefits and health insurance plans are offered, administered and/or underwritten by Aetna Health Inc. When this Drug List (Formulary) refers to “we,” “us”, or “our,” it means A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of A preferred drug list, or formulary, is a list of brand-name and generic drugs that are covered by our prescription drug plans. 2025 Health Care Reform Preventive Drug List Author: Aetna Subject: 2025 Health Care Reform Preventive Drug List Keywords: WCAG 2. The drugs on this list require step therapy. Pharmacy Disclaimers Aetna’s retiree pharmacy coverage is an enhanced Part D Employer Group Waiver Plan that is offered as a single integrated product. 2024 Aetna Standard Plan Pharmacy Drug Guide is a guide within select therapeutic categories for clients, plan members and health care providers. It details which drugs are covered and any plan %PDF-1. Drug Class Generic medicine . We join the right medical professionals with the right technology, so members benefit from Mail-order pharmacy 7. Aetna Better Health provides the general info on the next page. Generally, a “generic” drug works the same as a brand-name drug and usually costs Proprietary MI-23-08-37 H8026_ 24PTBPDL APPROVED January 2025 Medicare Part B Preferred drug list — Aetna Better Health® Premier Plan (Medicare-Medicaid Plan). The prescription drug part of your Aetna Medicare Advantage plan covers these diabetic supplies: Alcohol swabs and 2x2 gauze; Insulin needles, insulin pen needle and insulin syringes (when used for injecting insulin) Medicare Part B Preferred drug list — Aetna Better Health® Premier Plan MMAI (Medicare-Medicaid Plan) Some medically administered Part B drugs may have extra requirements or limits on coverage. • Call 1-866-782-2779 (TTY: 711) for information on injectable medications not listed. This formulary is current as of March 20 %PDF-1. Want a full list of every drug covered by your plan? Download the formulary and find other important prescription drug information. You’ll also learn more about the requirements and limitations of your pharmacy %PDF-1. 19 per month on average. and/or Aetna Aetna Medicare network pharmacy, and other plan rules are followed. Index of Drugs 103. The formulary may change Your Aetna ® prescription drug coverage comes with powerful coverage that, when used correctly, can help you save money. Participating providers are required to pursue precertification for procedures and services on the lists below. What is the Aetna Medicare (HMO), Aetna Medicare (PPO) formulary? “The ‘Drug List’ tells which Part D drugs are covered. 6 %âãÏÓ 4222 0 obj > endobj 4243 0 obj >/Encrypt 4223 0 R/Filter/FlateDecode/ID[5F11A78D73CB3A2FFE83910BCA43F704>0CC7FED65B27F845881A0809ACF66901>]/Index Overview. To get updated information about the Check your plan documents for details on filling a 90-day supply of drugs on this list. Aetna® Medicare Formulary 8. If you don’t want to leave your state site, choose the “X” in the upper right corner to close this message. Health benefits and health insurance plans contain exclusions and limitations. This list shows some common examples. It details which drugs are covered and any plan A formulary is a list of drugs covered by a Medicare plan. It details which drugs are covered and any plan Aetna Health Insurance Company of New York, Aetna Health Assurance Pennsylvania Inc. Our contact information, along with This document is a guide for clients, plan members and health care providers within select therapeutic categories. 997050-01-07 (10/23) - - 1 1 - - 1 1 - -1 - 1 2 1 CGFLP04363 ©2018 Aetna Inc. This is when we require you to first try certain preferred drugs to treat your medical Aetna Health Insurance Company of New York, Aetna HealthAssurance Pennsylvania Inc. The precertification and quantity limits 2024 Standard Opt Out Plan — Aetna Formulary Exclusions Drug List 893218-03-09 (7/24) Below is a list of medications that won’t be covered without a prior authorization for medical necessity. This is when we require you to first try certain preferred drugs to treat your medical condition before covering another nonpreferred drug. and/or Aetna Life Please remember that this is not a complete list of drugs covered under your plan. Not for public use or distribution. Please remember that this is not a complete list of drugs covered under your plan. Some antibiotic Shop Aetna Medicare plans. If you have a medical need for one of these drugs, your doctor can ask for an exception. 39-7,121a, allowing KMAP to develop a PDL based on safety, effectiveness and clinical outcomes. Value drug list (PDF) When you choose a drug from this list, you get a fixed-rate copay. Aetna Standard Plan drug list is changing on January 1, 2023. Entering text into the form field will activate a list of options. ATTENTION: If you speak Spanish or Arabic, language assistance services, free of charge, Medicare Part B preferred drug list Aetna Better Health Premier Plan (Medicare-Medicaid Plan) Some medically administered Part B drugs may have extra requirements or limits on coverage. Check the tier a drug is on, any limits or requirements and mail order availability. ATTENTION: If you speak Spanish, language assistance services, free of charge, are This is a list of drugs that members can get in Aetna Better Health Premier Plan. The Drug List also tells you if there are any special rules or restrictions on any drugs covered by Aetna Better Health of Ohio. In Florida, by Aetna Health Inc. Look up your plan documents for specialty drug coverage details. Updated 10/01/2024 3. The plan will cover drugs on this list. A. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. aetna. Formulary (drug list) Over-the-counter (OTC) benefits catalog; Star Ratings How to find your Aetna Medicare plan name. Legal notices Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). to check the Drug List for the new benefit year for any changes to drugs. If you want to stay on our site, choose the “X” in the upper right corner to close 2024 Advanced Control Plan – Aetna Formulary Exclusions Drug List . 1 AA Members with Aetna Medicare SilverScript prescription drug plans can log in or register for an account below. com, you can view and manage prescriptions, including mail order delivery, and review your Explanation of Benefits (EOB). If there is no generic available, there may be more than one brand-name medicine to Medicare Part B preferred drug list Aetna Medicare Better Health (HMO D-SNP)* Some medically administered Part B drugs may have extra requirements or limits on coverage. 6 %âãÏÓ 115 0 obj > endobj 135 0 obj >/Filter/FlateDecode/ID[43162D49E0CE6442B7924BC62F72F116>5053E00279752E40912C965252BF5518>]/Index[115 30]/Info 114 0 R 2023 Formulary Exclusions Drug List The drugs on this list have been removed from your plan’s formulary. Talk to your health care provider about how these changes might impact you. Aetna Medicare (List of Covered Drugs) GRP B2 5 Tier PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Ask your doctor to Check your plan documents for details on filling a 90-day supply of drugs on this list. Request a prior authorization or speak to your doctor about submitting a prior authorization for you. It can also help you save time and trips to the pharmacy. Drug List Aetna Senior Supplemental Insurance Effective date: 05/04/2018. 2024 Aetna Pharmacy Drug Guide- Aetna Standard Plan . Learn more about the coverage and benefits offered by Aetna's pharmacy plans, including We review our drug list on a monthly basis and make changes as necessary. A formulary is a list of covered drugs selected by Aetna Medicare Rx offered by SilverScript in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. If the rules for that drug are met, the plan will cover the drug. Use our online search tool to find network pharmacies for your plan. The Kansas Medicaid PDL was authorized by K. The enclosed formulary is current as of 01/01/2024. You’re required to use a pharmacy in the network to fill your prescriptions. eluryng Drug list addition (preferred generic); Quantity limits apply. Aetna’s Preferred Drug List is subject to change. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716. com or call Member Services toll-free at 1-800-594-9390 (TTY: 711). In the catastrophic phase, you would normally pay a lower copay for your drugs. The drugs on the Preferred Drug List Formulary Exclusions, Precertification and Quantity Limit Lists are subject to change. But you must have a prescription*. For more recent information or other questions, please contact Aetna Medicare Member Services at 1-888-267-2637 Check our drug list (formulary) to see which drugs are covered by your Allina Health Aetna Medicare plan. 5 mg This is not a complete list of drugs covered under your plan. 2023 Health Care Reform Preventive Drug List. If the specific form you need is not there, scroll to the end of the list and use the generic Specialty Medication Health Care Reform Preventive Drug List . This formulary was updated on 10/01/2021. that operates through mail order. It also shows similar drugs 2024 Aetna Pharmacy Drug Guide- Aetna Standard Plan . Visit your Aetna member website to learn more about this service. We keep it up-to-date for you. These may include step therapy. EST, Monday through Friday. Aetna Better Health Premier Plan MMAI is a health plan that contracts with both Medicare and Illinois This document includes a list of the drugs (formulary) for our plan which is current as of 09/01/2024. RETAIL PHARMACY Retail pharmacies typically fill prescriptions for 30-day supplies, or less. The precertification and quantity limits drug coverage review Aetna SilverScript Medicare Part D prescription drug plans (PDP) cover a wide variety of medications, all of which can be found in the SilverScript formulary. The following drug list information is arranged alphabetically by medication. Medicare Part B Preferred drug list — Aetna Better Health® Premier Plan MMAI (Medicare-Medicaid Plan) Some medically administered Part B drugs may have extra requirements or limits on coverage. Drug Class Targeted Product(s) Preferred Product(s) manufacturers not affiliated with Aetna. Aetna® Medicare Formulary 7. Aetna is part of the CVS Health family of companies. A preferred drug list (PDL) is a list of medicines we cover. Stay up to date with your medicine. You may need to try one or more generic drugs before certain brand-name Aetna Value Drugs . Aetna Better Health of Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. , Aetna Health Insurance company and/or Aetna Life Insurance This is a drug list created by Aetna Better Health of Virginia. What if I need a prescription drug that requires a medical exception? Your Aetna ® prescription drug coverage comes with powerful coverage that, when used correctly, can help you save money. It details which drugs are covered and any plan requirements associated with these drugs. Under the Affordable Care Act, also known as health care reform, you can get some drugs at no member cost share. Visit our formulary FAQ page to learn more. For more information on how to fill your prescriptions, please review your Evidence of Coverage. JUL 2023 Preventive Drug List for Advanced Control Plan - Aetna cqf 894700-05-02 Edited 6-19-23 Author: CQF Subject: Accessible PDF Keywords: Medicare Part B preferred drug list — Aetna Medicare Advantage (MA) only plans Some medically administered Part B drugs may have extra requirements or limits on coverage. This is when we require you to first try certain preferred drugs to treat your medical condition before covering another non-preferred drug. Plan? A preferred drug list, or formulary, is a list of brand-name and generic drugs that are covered by our prescription drug plans. Expedited medical exceptions. 6 %âãÏÓ 2775 0 obj > endobj 2790 0 obj >/Filter/FlateDecode/ID[08C067BD369FEC44B7B15524D294A8B5>]/Index[2775 32]/Info 2774 0 R/Length 82/Prev 218754/Root Medicare Part D drugs: This informs you of your deductible and your share of the cost when you get one‑month or long-term supplies of a covered Part D prescription drug. ATTENTION: If you speak Spanish, language assistance services, free of Health Care Reform Preventive Drug List . It details which drugs are covered and any plan 2024 Aetna Specialty Drug List 3253356-01-01 (4/24) How to use this guide You may fill these drugs at an in-network specialty pharmacy. Covered up to 13 units every 300 days : EMVERM Moving to preferred brand tier : by Aetna Health Inc. If your plan only covers Medicare Part B preferred drug list Aetna Medicare Advantage (MA) only plans Some medically administered Part B drugs may have extra requirements or limits on coverage. This is when we require you to first try certain preferred drugs to treat your medical This list shows preferred specialty drugs and specialty drugs excluded from the covered drug list, or formulary. Like if the FDA views a drug as unsafe or the drug maker removes the drug from the market. This benefit started on January 1, 2024. For an updated formulary, please contact us. Drug list 10. How do I use the formulary? 4. COLCRYS . In Idaho, health benefits and health insurance plans are offered and/or underwritten by Aetna Health Medicare Prescription Drug Plans (PDP) have a network of pharmacies. View 2025 plans. , Aetna Health Insurance Company of New York, Aetna Health Assurance Pennsylvania Inc. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. Updated 09/01/2024 3 . Find preferred drugs for our Aetna® 2018 Standard Formulary Exclusions Drug List . . January 2025 OH-24-04-20 H7172_25PTBPDL Medicare Part B Preferred drug list — Aetna Better Health® of Ohio, MyCare Ohio (Medicare-Medicaid Plan) Some medically administered Part B drugs may have extra requirements or limits on coverage. ¿¼w ‰¾ ²$#8 j‚à ~ºN¡&uÎ6 ÅO Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). You also can mail a written request to Aetna PA, 1300 E. 2 covered otc drug reference drug name requirements/limits digestion otc drugs antidiarrheal drugs otc loperamide imodium anti-hemorrhoidal drugs Get details on your benefits and coverage, drug list and more. m. If there is no generic available, there may be more than one brand-name medicine to Changes coming to our medical plan drug lists Starting January 1, 2025, we’re making changes to our medical plan drug lists. This helps you get the most value from your drug coverage. Category. What is the Aetna Medicare formulary? 3. Learn more about Medicare prescription drug formularies and what’s covered and not covered. This formulary was updated on 12/01/2021. Aetna Value Drugs Category Generic medicine . Specialty drug list (PDF) This list includes specialty drugs which treat complex which prescription drugs and over-the-counter drugs and items are covered by Aetna Better Health of Ohio. Your SilverScript Aetna formulary drug list is the list of drugs This is a list of drugs that members can get in Aetna Better Health Premier Plan MMAI. Some medically administered Part B drugs may have extra requirements or limits on coverage. an Aetna￾® Medicare prescription drug plan . Ready to explore Medicare plans near you? Enter your ZIP code to find a plan that’s right for you. Please click below: 2024 Medicare Part B Step Therapy Preferred Drug List (PDF) 2025 Medicare Part B Step Therapy Preferred Drug List (PDF) Check your plan documents for details on filling a 90-day supply of drugs on this list. Find out if your medication is covered by your Florida Medicaid or Florida Healthy Kids plan with the drug formulary search tool. The preferred products January 2025 Medicare Part B preferred drug list Aetna Medicare Advantage plans that offer prescription drug coverage (MAPD) only Some medically administered Part B drugs may have extra requirements or limits on coverage. Aetna Better Health Premier Plan MMAI is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Drug tier copay levels 8 Formulary key 9. Get personalized results, suggestions for generic drugs and more. • This drug list represents a summary of prescription coverage. Your Aetna ® prescription drug coverage comes with powerful coverage that, when used correctly, can help you save money. Most changes are positive. 917902-01-05 (10/23) Under the Affordable Care Act, also known as health care reform, you can get some drugs at no member cost share. Close. 1011950-01-08 (1/24) 2024 Aetna Specialty Drug List (1/24) How to use this guide . Generics should be considered the first line of prescribing. Can the Plan’s Drug List change? The plan may add or remove drugs on the list. There’s a limit to what you have to pay out-of-pocket for your covered Part D drugs each year. Drug tier copay levels 9 Formulary key 10. Once you reach that limit, you enter the Medicare catastrophic phase. Products may be subject to plan-specific copayment or coinsurance, additional charges or other Check your plan documents for details on filling a 90-day supply of drugs on this list. Aetna Medicare Rx offered by Your doctor can call us at 1-800-414-2386 ${tty}, 7 days a week, 24 hours a day, to request drug coverage. If you are a member with Anthem's pharmacy coverage, log in and automatically connect to the current drug list that applies to your pharmacy benefits. And make it easy to manage your medicines and your loved ones’ medicines. , Aetna Health Insurance Company of This is a list of drugs that members can get in Aetna Better Health Premier Plan. It is developed with help from pharmacists and physicians from This is a list of drugs that members can get in Aetna Better Health Premier Plan MMAI. It lists preferred brand-name medicines and generics that are clinically Make the most of your pharmacy benefits. You'll also see if there have been any additions or deletions to the list. 2025 A2 Formulary (List of Covered Drugs or "Drug List") PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. These changes support our commitment to high quality, cost-effective health care. It details which drugs are covered and any plan 2018 Aetna Standard Plan drug list: 1 : This is a list of preferred drugs covered by your plan. This is when we require you to first try certain preferred drugs to treat your medical Aetna Standard Plan drug list is changing on February 1, 2023. ATTENTION: If you speak Spanish, language assistance services, free of For more information about Aetna plans, go to www. Hours are 8 a. Campbell Rd. 2. You may fill these drugs at an in-network specialty pharmacy. ATTENTION: If you speak Spanish or Arabic, language assistance services, free of charge, drug A does not work for you, we will then cover drug B. The enclosed formulary is current as of 10/01/2020. ” 2025 Aetna Standard Plan Pharmacy Drug Guide. This list shows preferred specialty drugs and specialty drugs excluded from the covered drug list, or formulary. it is best to call the number listed on the back of your RX Preferred Drug List MCOs: Aetna Better Health of Louisiana, AmeriHealth Caritas Louisiana, Healthy Blue, Humana, LA Healthcare Connections, United Healthcare: contact Prime Therapeutics State Government Solutions 1-800-424-1664 Fee-for-Service (FFS) Louisiana Legacy Medicaid 1-866-730-4357 . Products may be subject to plan-specific copayment or coinsurance, additional charges or other Aetna Medicare network pharmacy, and other plan rules are followed. For example, if you live in Colorado but your employer's health plan is with Blue Cross Blue Shield Indiana, you will choose Indiana to access the drug list for your plan. It also provides the preferred generic or brand alternatives This document includes a list of the covered drugs (formulary) for our plan which is current as of August 1, 2024. For more recent information or other questions, please contact Aetna D-SNP Member Services at 1-855-463-0933 or for TTY users: 711, 24 Some drugs can be shipped to you through CVS Caremark Mail Service Pharmacy. What if I need a prescription drug that requires a medical exception? Aetna’s Preferred Drug List. ) Here is how each Aetna SilverScript drug plan breaks down: Monthly Average Premium in 2025: SilverScript SmartSaver (PDP) is $11. A long-term supply is: Up to a 90-day prescription if you have a prescription drug plan (PDP) Up to a 100-day prescription if you have a Medicare Advantage prescription drug plan (MAPD) This may be a great option for drugs you take regularly. Some medicines are prescribed for more than one This is not a complete list of drugs covered under your plan. If you want to stay on our site, choose the “X” in the upper right corner to close Value drug list (PDF) When you choose a drug from this list, you get a fixed-rate copay. these requirements are provided next to the covered product. Drug list 9 Index of Drugs 191. Drug tier copay levels 8. It details which drugs are covered and any plan This is a list of drugs that members can get in Aetna Better Health of Ohio. ULORIC . An example would be adding new generics that have come on the market. Gout § allopurinol . If your Aetna Medicare plan covers your medical benefits, search MA/MAPD plans. For more details on the specifics of your drug coverage, please note: certain products on this list may have quantity limits (qll), step therapy, or prior authorization requirements. 6 %âãÏÓ 1610 0 obj > endobj 1623 0 obj >/Filter/FlateDecode/ID[99B123C5566A400F9EA5B79C096C2635>63C4166F3D916F45BBE32551D6792AE6>]/Index[1610 27]/Info 1609 2024 Aetna Specialty Drug List. Check your plan documents for coverage information. Formulary key 10. Or choose “Go on” to This is a list of drugs that members can get in Aetna Better Health Premier Plan MMAI. Drug list 9. For drugs administered orally, by injection Aetna® D-SNP (List of Covered Drugs) B2 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Log in to your secure member website to see if your drugs are covered, manage CVS Pharmacy refills, view your prescription Aetna® Medicare formulary 7. , Aetna Health Insurance company and/or Aetna Life Insurance Company (Aetna). A formulary is a list of covered drugs selected by Aetna Medicare Rx offered by SilverScript in consultation with a team of health care providers, which represents the prescription therapies believed to and it is important to check the Drug List for the new benefit year for any changes to drugs. Can the formulary change? 3. When this Drug List (Formulary) refers to “we,” “us”, or “our,” it means Aetna. To get updated information about the drugs Aetna Health Insurance Company of New York, Aetna Health Assurance Pennsylvania Inc. S. What if my drug is not on the %PDF-1. If you continue using one of these drugs without prior approval, you may be required to pay the full cost. Both generic and brand drugs are covered under Part D. What is the Aetna Medicare \(HMO\), Aetna Medicare \(PPO\) formulary? 3. When it refers to “plan” or “our plan,” it means This PDF document lists the medications that are not covered by Aetna without a prior authorization for medical necessity. Specialty drug list (PDF) This list includes specialty drugs which treat complex conditions that often require support by a nurse or pharmacist during treatment. Anticoagulants ; jantoven tabs 1 mg jantoven tabs 10 mg jantoven tabs 2 mg jantoven tabs 2. Call the Aetna Pharmacy Precertification Unit: NonSpecialty 1-800-294-5979 $ In this document, we use the terms Drug List and formulary to mean the same thing. To get updated information about These drugs may be injected, infused or taken orally and may require special handling. You’ll also see if there have been any additions or deletions to the list. colchicine tablet probenecid . You can find the formulary or drug list on your member portal. This formulary was updated on 12/01/2022. 1011950-01-12 (1/25)-How to use this guide . You’ll also learn more about the requirements and limitations of your pharmacy Find out if your medication is covered by your Aetna Better Health of Virginia plan by using the drug formulary search tool. Transforming health care, together. This is when we require Learn more about using Aetna's specialty pharmacy - Aetna Specialty Pharmacy. A preferred drug list is a list of medicines we cover. It is Pharmacy benefits and services from Aetna can help individuals and families make the best choices for their health and budget. It also shows similar drugs with the same active ingredients that are covered by your plan. If you continue using a drug listed under “formulary drug removals”, you may have to pay the full cost. Key %PDF-1. Aetna Rx Home Delivery refers to Aetna Rx Home Delivery, LLC. , Richardson, TX 75081. Sometimes we have to make a negative change to our formulary. It details which drugs are covered and any plan Formulary (drug list) Over-the-counter (OTC) benefits catalog; Star Ratings How to find your Aetna Medicare plan name. As an example, you might use a retail pharmacy to fill a prescription for an acute condition, or to fill a prescription for a very small amount of medicine. Some drugs may have coverage rules. The member’s specific prescription benefit Contact Aetna ® Pharmacy Management for precertification of oral medications not on this list. To get updated information about the drugs If you know the name of your pharmacy plan, you can check your formulary (drug list) online. You can also review the Aetna drug guide in PDF format. Aetna Better Health Premier Plan is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Added benefits & services Back Get details on your benefits and coverage, drug list and more. This list indicates the common uses for which the drug is prescribed. Drug List Changes. Aetna® shines in Star Ratings with 88% of Medicare Advantage members in 4 out of 5-star plans or higher for Find preferred drugs. eqjys llxrjsle ddzrw gvie vkvpnu zibxr cqsc trzre nuod mboh