Medicare Rx Essentials, Aetna Medicare Rx Essentials - Aetna Medicare

Drug List Changes

2012 Aetna Medicare Rx Plan (PDP) 

Here are changes from a recent review of Aetna Medicare's Preferred Drug List (formulary). They are based on findings from the Food and Drug Administration (FDA) and drug makers, and other factors including cost. Changes occur, for example, because new drugs come on the market, we may learn that a prescription drug should now have a lower dose, it's moved to a different cost-sharing level (tier), or a generic version becomes available. We change our list to help provide you with appropriate, affordable drug benefits. 

Carefully review the monthly changes below and their effective dates. If you are affected by preferred drug list changes, you will receive a letter explaining the changes. You can also speak with your doctor or pharmacist about the preferred drug list changes. 

View full Aetna Medicare Rx Plan (PDP) 2012 Comprehensive Formulary PDF Icon - Y0001_M_PE_MM_11125 CMS Approved 11/22/2011 (114 pages, 1,187 kb) - Last Updated 12/27/2012 

UPPERCASE = Brand-name medications QL = Quantity limits
lower case italics = generic medications ST = Step therapy
Tier 1, 2, 3, 4, 5 = Copay tier level PR = Prior authorization

 

Date of Change: October 1, 2011 

none none none none

 

 

 

See the Aetna Medicare 2012 Glossary for unfamiliar terms.

See the Aetna Medicare Rx 2012 Find Prescriptions page for more information about Aetna Medicare's preferred drug list (formulary).

If you need to request an exception to the formulary, utilization management, or tiered cost sharing, please visit the Aetna Medicare Rx Plan website section, "Exceptions, Appeals & Grievances" for more information.

Public notice of transition process

The Centers for Medicare and Medicaid Services (CMS) implemented a transition program to allow Medicare Part D members to receive a temporary supply of medication to avoid disruption of medication therapy.

Aetna has established a transition program that provides new and existing members with up to a one time fill (maximum of a 31-day supply OR multiple fills for a combined medication supply of no more than 31 days) for each prescription:

Review details on our transition process.PDF Icon Y0001_M_OT_WB_10670 CMS Approved 10/04/2011 (4 pages, 50 kb)

 

(Last updated 12/27/2012)

Formulary ID: 12369, Version 29

 

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Page Last Updated: January 22, 2013