Pharmacy Benefit
Your pharmacy benefit is the same if you are on the In State or Out of State Plan as an active or non-Medicare retiree member, or if you are on the Medicare Plan as a retiree.
Pharmacy Mail Order Form
Prescription Claim Form (Actives & Non-MedRetirees)
Prescription Claim Form (Medicare Retirees)
Preferred Drug Guide (Actives & Non-Med Retirees)
Preferred Drug Guide (Retirees)

Where to go, How to save
Below is information on Filling Prescriptions, Home Delivery Services, Specialty Pharmacy and Saving with Generics.


Filling Prescriptions
When you need to fill a prescription, you have choices that offer convenience and savings.

Use participating retail pharmacies for short-term prescriptions.
When your doctor writes a prescription for medication that you will use over a short period of time, you can fill it at a participating retail pharmacy. “Participating” means the pharmacy belongs to the Aetna network. You can find participating retail pharmacies near you by using DocFind®.

A retail pharmacy will fill prescriptions for up to a 90-day supply of medication. When you visit the pharmacy, show your Aetna member ID card. The pharmacist will use your member information to apply your benefits and charge you the correct amount for your prescription.


Use Aetna Rx Home Delivery® for long-term prescriptions.
Aetna Rx Home Delivery® is Aetna’s mail order service for maintenance medications. These are drugs used on a long-term basis, usually to treat and/or maintain a chronic condition. Examples of maintenance medications include insulin, statin drugs and blood pressure medication.

With the mail service, you can order up to a 90-day supply of medication and have it delivered right to your home. To get learn more and get started, visit Aetna Navigator®. You can link to Navigator® from ExpressLane or visit www.aetna.com to log in. When you arrive at your home page, look for the Aetna Pharmacy tab at the top of the page.



SPECIALTY PHARMACY

Use Aetna Specialty Pharmacy for specialty medications.

Specialty medications are self-injectable, infused, compounded and certain oral drugs that require special handling or refrigeration. They can be expensive and retail pharmacies often do not carry them. With Aetna Specialty Pharmacy, you can get convenient, confidential delivery for these drugs, plus the support of clinicians to help you manage your drug therapy and health condition.

Aetna Specialty Pharmacy typically provides a 30-day supply of medication. To learn more and get started, visit Aetna Navigator®. You can link to Navigator® from ExpressLane or visit www.aetna.com to log in. When you arrive at your home page, look for the Aetna Pharmacy tab at the top of the page.

Note: Insulin is generally not covered by Aetna Specialty Pharmacy.



GENERICS

Save with Generics

Your health plan pays the most, and you pay least, when your doctor prescribes generic drugs. A generic drug is one that is produced and sold under the chemical formulation name rather than a brand name. Because generics are sold by generic drug manufacturers who don’t have to recoup development costs, they cost less than brand-name drugs.

Are generics safe? Yes. The FDA requires generics to have the same quality, purity and stability as brand-name drugs. This means you can be sure your generic drug will be as safe and effective as its brand-name counterpart.

How much can you save with generics? Find out with the Price-a-Drug tool. Go to the Aetna Navigator® website. On your home page, click on “I want to . . . estimate drug costs” in the left-hand menu.





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