This formulary was updated on 10/01/2021. For more recent information or other questions, please contact Aetna Medicare Member Services at 1-866-241-0357 or for TTY users: 711, 24 hours a day, 7 days a week, or visit AetnaRetireePlans.com
Full Answer
What medications are covered by Aetna?
Feb 24, 2022 · Aetna SilverScript Prescription Drug Plans (PDPs) 1-866-235-5660 (TTY: 711) 7 days a week, 8 AM to 8 PM. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) 1-877-238-6211 (TTY: 711) 7 days a week, 24 hours a day. Medicare Supplement. 1-888-624-6290 (TTY: 711) 7 days a week, 7 AM to 8 PM CT.
How to find Aetna Medicare providers?
To find out which drugs are covered by Aetna Medicare plans in your area, you can speak with a licensed insurance agent. You can reach one by calling 1-877-890-1409 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. A licensed insurance agent can use Aetna Medicare plan formularies to help you find Aetna Medicare prescription drug coverage that fits your needs.
What is the preferred pharmacy for Aetna?
please contact Aetna Medicare Member Services at 1-866-241-0357 or for TTY users: 711 , 24 hours a day, 7 days a week, or visit AetnaRetireePlans.com and choose "Manage your prescription drugs". More › 212 People Used More Info ›› Visit site > Aetna Medicare Advantage Plan With Prescription Drug Coverage trend www.aetna.com
Does Aetna cover wegovy?
Feb 24, 2022 · Contact us 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM Contact Us Attend a seminar Request a call Email us Member Services About Aetna Who we are Helpful Links Employers Producers Find a doctor Find a pharmacy Check our drug list Site map Glossary Get a form Pay your premium Policies & Procedures Disclaimers
How do you find out what drugs are covered by Medicare?
Get information about specific drug plans and health plans with drug coverage in your area by visiting Medicare.gov/plan-compare or by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
Are formulary lists the same in every Medicare approved plan?
All plans must cover a wide range of prescription drugs that people with Medicare take, including most drugs in certain protected classes,” like drugs to treat cancer or HIV/AIDS. A plan's list of covered drugs is called a “formulary,” and each plan has its own formulary.
What does formulary excluded mean?
A formulary exclusion list includes the drugs that an insurer, health plan, or pharmacy benefits manager (PBM) does not cover. Proponents of drug formulary exclusion lists say they quell costs by having patients use lower cost drugs. Ideally, patients should be using drugs that are the best value for their cost.Jan 4, 2018
Is Aetna Medicare the same as Medicare?
Both terms refer to the same thing. Instead of Original Medicare from the federal government, you can choose a Medicare Advantage plan (Part C) offered by a private insurance company.Oct 1, 2021
Who develops the Medicare formulary?
the Blue Shield Pharmacy and TherapeuticsThe formulary is developed and updated regularly by the Blue Shield Pharmacy and Therapeutics (P&T) Committee and meets all Medicare requirements for included and excluded drugs. The Blue Shield P&T Committee includes physicians and clinical pharmacists from our provider and pharmacy networks.Dec 31, 2021
How is formulary defined?
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a drug list.
How would you explain a formulary exclusion to your patient?
Some payer and provider groups say they interfere with patient access to medicines. Formulary exclusions — a decision by a PBM not to include a drug on its list of covered drugs, called a formulary — are not new, but they are increasingly in the spotlight, partly because the PBM industry is increasingly consolidated.May 19, 2021
Are formularies useful?
Formularies have evolved into a tool for assuring the selection of medications demonstrated to be safe, effective and affordable while maintaining or improving quality patient care.
Why are drugs removed from formulary?
Your health insurance plan's Pharmacy & Therapeutics Committee might exclude a drug from its drug formulary a few common reasons: The health plan wants you to use a different drug in that same therapeutic class. The drug is available over-the-counter. The drug hasn't been approved by the U.S. FDA or is experimental.May 16, 2021
Is Aetna Medicare federally funded?
Aetna® Medicare Insurance Plans Medicare is a federally funded health care program administered by The Centers for Medicare and Medicaid Services (CMS), a division of the U.S. Department of Health and Human Services (HHS).
Is Aetna a Medicare Advantage Plan?
Aetna Medicare Advantage plans take a total approach to health. Our Part C plans often include prescription drug coverage and extra benefits. And many feature an affordable plan premium – sometimes as low as $0. Error or missing data.Jan 6, 2022
What does Medicare not pay for?
In general, Original Medicare does not cover: Long-term care (such as extended nursing home stays or custodial care) Hearing aids. Most vision care, notably eyeglasses and contacts. Most dental care, notably dentures.
What drugs are covered by Aetna Medicare plans?
An Aetna Medicare formulary typically lists drugs grouped by the types of medical conditions they are used to treat. It also lists them in alphabet...
What are the drug tier copay levels in a formulary?
The copay amount you pay will vary from one Aetna Medicare plan to another. So be sure to check your plan’s Summary of Benefits or Evidence of Cove...
Does Aetna offer mail order prescription drug coverage?
Some drugs on an Aetna Medicare plan formulary may be eligible for home delivery through CVS Caremark® Mail Service Pharmacy. You can typically get...
Are results for Aetna Medicare Advantage Prescription Formulary updated every day?
Certainly! We always update the latest news and information related to Aetna Medicare Advantage Prescription Formulary. Hence, the results for Aet...
How can I contact you?
You can contact us whenever you need. All questions that you can send us through our official social network account, we will answer all your requi...
Can I still use expired medicine?
The FDA warns consumers against taking expired medications because some expired medications carry the risk of developing bacteria that lead to more...
What should I do if I want to know more information about Aetna Medicare Advantage Prescription Form...
All information about Aetna Medicare Advantage Prescription Formulary is provided adequately on our website. In case you still have more questions...
How to contact Aetna by phone?
You can reach one by calling. 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week.
What is the number for Aetna?
1-877-890-1409. 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. A licensed insurance agent can use Aetna Medicare plan formularies to help you find Aetna Medicare prescription drug coverage that fits your needs.
What is a formulary in Medicare?
A Medicare formulary is a list of medications that are covered by a Medicare plan. A formulary includes details about: How each drug is covered. Any limits and requirements your plan may have for the drug.
How long does it take for Aetna to deliver?
You can typically get up to a 90-day supply for most medications through this home delivery service. Prescriptions usually arrive within 7 to 10 days.
Does Aetna have OTC?
Many plans also include routine dental, vision and hearing benefits. Many Medicare Advantage plans from Aetna may also include an over-the-counter (OTC) benefit. This benefit covers certain items such as vitamins and cold medicine at no extra cost to you.
Check our drug list
Search our formulary for covered drugs and get the information you need. It shows the drugs we cover, the tier a drug is on, any limits or requirements and mail order availability. Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers.
Get our full drug list and more
See a complete list of our covered drugs and other important prescription drug information.
Find a drug by name
Search for a specific drug by name and see if generic equivalents are available. Enter your ZIP code to get started.
What is a formulary in Medicare?
A formulary is a list of prescription drugs covered by a plan. Because Medicare Part D is provided by private insurance companies such as Aetna and SilverScript, each company can decide which drugs to cover. However, a formulary must meet the minimum standards and requirements of Medicare Part D coverage. Do the drugs listed on a formulary change? ...
What is not covered by Medicare Part D?
What’s not covered by a Medicare Part D formulary? Federal law prohibits a Part D plan from covering certain types of drugs, including: Over-the-counter drugs (also called nonprescription drugs) Drugs when used for treatment of anorexia, weight loss or weight gain. Drugs when used for cosmetic or hair growth purposes.
What are the tiers of a drug plan?
What are drug tiers? Formularies are set up in tiers. A drug in a lower tier usually costs less than a drug in a higher tier. Use a plan’s formulary to tell you which drugs are covered and which tier they are in. The tiers are numbered and include: Tier 1, Preferred Generic: These are commonly prescribed generic drugs.
What is Tier 4 drug?
Tier 4, Non-Preferred Drug: These are higher-priced brand-name and generic drugs, less commonly prescribed than drugs in the preferred tiers. Tier 5, Specialty: These are the most expensive drugs on the list. They may require special handling and/or close monitoring. Check our formulary.
What does "off label" mean?
Off-label use, in many cases, in which a drug is used in any way other than those indicated on a drug's label as approved by the Food and Drug Administration.
Does Medicare Part D cover a drug?
Medicare Part D formularies are approved by Medicare and updated throughout the plan year, and may change if: The plan no longer covers a drug. A new drug is added. A drug is moved to a different cost-sharing tier. A prior authorization, step therapy restriction or quantity limit has been added or changed for a drug.
What is the Aetna 2021 formulary?
This 2021 comprehensive formulary is a listing of brand-name and generic drugs. Aetna Medicare’s 2021 formulary covers most drugs identified by Medicare as Part D drugs, and your copay may differ depending upon the tier at which the drug resides.
How long does it take to get a prescription from mail order?
Typically, mail-order drugs arrive within 10 days. You can call 1-888-267-2637 (TTY: 711) 8 a.m. to
Is Aetna a PPO?
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays.
