Medicare Rx
Aetna Medicare Rx Plan (PDP)
Find out what it will cost you.

Aetna Medicare offers two different prescription drug plans in each state1. The Aetna Medicare Rx plans provide Medicare Part D coverage and:
- Coverage for most Medicare-approved Part D prescription drugs*
- $0 deductible in Premier plan and $0 deductible for Tier 1 and Tier 2 generic prescription drugs in the Aetna CVS/pharmacy Prescription Drug Plan
- Predictable copays to help you manage prescription drug costs
- Convenience and savings using our prescription drug mail order program
- A safeguard against unforeseen changes in your prescription drug needs
- More than 65,000 pharmacies in our national network. Refer to our Pharmacy Directory or use DocFind to find a pharmacy near you.
* Clinical pharmacy programs such as prior authorization, step therapy, and quantity limits may apply.
| | Aetna CVS/pharmacy Prescription Drug Plan (PDP) | Aetna Medicare Rx Premier® Plan (PDP) | Aetna Medicare Rx Essentials® Plan (PDP) |
| $0 Deductible for preferred & non-preferred generics |
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| $0 Deductible for all brand-name prescription drugs |
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| Preferred pharmacy cost-sharing |
CVS retail |
Aetna Rx Home Delivery |
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| Low cost generic tier |
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| CVS ExtraCare Health Card |
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| Medicare standard gap coverage equal to 14% benefit on all formulary generics |
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| Medicare coverage gap discount program for all formulary brand drugs equal to 50% (excludes dispensing fee) |
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| Aetna Extras Value Add Programs |
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| Most generics covered in the gap |
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| Enhanced non-Part D benefits to cover generic Benzodiazepines and Barbiturates |
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1 Aetna CVS/pharmacy Prescription Drug Plan: available everywhere but AK, AR, CO, ID, OR, UT, and WA
Aetna Medicare Rx Essentials Plan: only available in AK, AR, CO, ID, OR, UT, and WA
Aetna Medicare Rx Premier Plan: available everywhere
Why do you need an Aetna Medicare Rx plan now?
The older you get, the more prescriptions you may be taking. Even if you don’t take a lot of prescription drugs now, getting Medicare prescription drug coverage when you become eligible helps you avoid penalties in the future and ensures you are covered if you need to take prescription drugs in the future.
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. A Medicare approved Part D sponsor. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2013. Plans are offered by Aetna Health Inc., Aetna Health of California Inc., and/or Aetna Life Insurance Company (Aetna). Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and are subject to change each year.
You must have Medicare Part A and/or B and continue to pay your Part B premium and Part A, if applicable. Medicare beneficiaries may enroll in a plan only during specific times of the year. To obtain additional information, please contact Aetna Medicare.
In general, beneficiaries must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances. Pharmacy clinical programs such as prior authorization, step therapy, and quantity limits may apply to your prescription drug coverage.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your state Medicaid office.
This material is for informational purposes only. Not all health services are covered. Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna’s Preferred Drug List. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Discount programs provide access to discounted prices and are not insured benefits.
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