Participating Pharmacies
Visit one of more than 65,000 network pharmacies.
Aetna has a nationwide network of pharmacies, including both national chains and neighborhood pharmacies. Additionally, Aetna offers CVS/pharmacy as its preferred pharmacy partner for the Aetna CVS/pharmacy Prescription Drug Plan (PDP).1, 2 Members of this Part D plan enjoy outstanding value, plus assistance from experienced CVS/pharmacy pharmacists and the convenience of shopping at your neighborhood CVS/pharmacy.
There are three ways to find participating pharmacies:
- Check with your current pharmacy.
- Look up pharmacies near you.
- Call our Member Services toll-free number at 1-800-213-4599
(TTY/TDD: 711), 8 a.m. to 8 p.m., 7 days a week.
1 Other pharmacies are available in our network and higher costs may apply.
2 Longs Drugs is included as a preferred pharmacy in the Aetna CVS/pharmacy Prescription Drug Plan (PDP) in Hawaii.
Aetna has contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area.
The benefit information provided is a brief summary, not a complete 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 of each year. Limitations, copayments, and restrictions may apply. See plan documents.
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. Plan features and availability may vary by location and are subject to change each year.
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.
This material is for informational purposes only. 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. 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.
Home Delivery
Aetna Rx Home Delivery® is the prescription mail service pharmacy for Aetna pharmacy benefit members taking maintenance medications. Maintenance medications treat chronic conditions such as arthritis, asthma, diabetes, high cholesterol, heart conditions, high blood pressure and others.
- If you are an Aetna member, you can learn more about Aetna Rx Home Delivery, download an order form, and more by logging in to your secure Aetna Navigator member website.
- If you are not yet an Aetna member, visit the Aetna Rx Home Delivery information page.
The benefit information provided is a brief summary, not a complete 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 of each year. Limitations, copayments, and restrictions may apply. See plan documents.
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. Plan features and availability may vary by location and are subject to change each year.
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.
This material is for informational purposes only. 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. 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.
Aetna Specialty Pharmacy®
Fill your injectable medication needs at Aetna Specialty Pharmacy.
Aetna Specialty Pharmacy provides convenient, express delivery services for medications that require special handling, storage or shipping. These are drugs that treat certain conditions such as hepatitis, psoriasis, rheumatoid arthritis and multiple sclerosis.
Aetna Specialty Pharmacy:
- Provides convenient direct-to-home service for specialty medications that are not always available at retail pharmacies.
- Helps members find drug manufacturer programs that offer financial assistance and may be able to help establish a payment plan based upon demonstrated need.
- Offers educational and clinical support services to help members manage their medications and health conditions.
- Features a dedicated team of patient-care coordinators, pharmacists and registered nurses.
To learn more about Aetna Specialty Pharmacy, call toll free at 1-866-782-2779 (TTY/TDD 1-877-833-2779), Monday through Friday, 8 a.m. to 7 p.m.
The benefit information provided is a brief summary, not a complete 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 of each year. Limitations, copayments, and restrictions may apply. See plan documents.
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. Plan features and availability may vary by location and are subject to change each year.
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.
This material is for informational purposes only. 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. 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.
Out-of-Network Pharmacies
You may use an out-of-network pharmacy in certain non-routine situations when at least one of the following applies:
- If you are unable to get a covered prescription drug in a timely manner within our service area because there is no network pharmacy within a reasonable driving distance that provides 24-hour service.
- If you are trying to fill a prescription drug that is not regularly stocked at an accessible network retail or mail-order pharmacy (these prescription drugs include orphan drugs or other specialty pharmaceuticals).
- If you are traveling outside your service area (within the United States) and run out of your medication, lose your medication, or become ill and cannot get to a network pharmacy.
- If you receive a Part D prescription drug, dispensed by an out-of-network institutional-based pharmacy, while you are in the emergency department, provider-based clinic, outpatient surgery or other outpatient setting.
- If you have received your prescription during a State or Federal disaster declaration or other public health emergency declaration in which you are evacuated or otherwise displaced from your service area or place of residence.
If one of the above reasons applies, you will have to pay the full cost up front when filling the prescription and request reimbursement from Aetna. You may receive a smaller supply of your medication to take until you are able to access a network pharmacy. To be reimbursed you will need to submit a claim form and your receipt showing proof of payment for the medication to Aetna. You will be reimbursed for the difference of the amount paid and your in-network copay for the medication.
If one of the above reasons does not apply, then your prescription is not covered and you will not be reimbursed for the cost of the prescription.
Please refer to your Evidence of Coverage in the "out-of-network" section for more details.
The benefit information provided is a brief summary, not a complete 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 of each year. Limitations, copayments, and restrictions may apply. See plan documents.
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. Plan features and availability may vary by location and are subject to change each year.
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.
This material is for informational purposes only. 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. 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.
Aetna Medicare Refill Frequency Policy
Our refill policy promotes the safe and appropriate use of medications. Follow these guidelines for getting refills on your prescriptions:
Retail Pharmacies
- You may refill a supply of 9 days or less after you have used 50 percent of the prescription.
- You may refill a supply of 10 days or more after you have used 70 percent of the prescription.
Mail Order Pharmacies
- You may refill a supply of 30 days or less after you have used 50 percent of the prescription.
- You may refill a supply of 31 to 60 days after you have used 60 percent of the prescription.
- You may refill a supply of 61 days or more after you have used 66 percent of the prescription.
Cumulative Refill Too Soon
A “cumulative refill too soon” occurs when a 210 day supply is accumulated within a 180 day period.
- For prescriptions filled at retail pharmacies, you must use 90 percent of the accumulated medication before a refill will be allowed.
- For prescriptions filled at mail-order pharmacies, you must use 80 percent of the accumulated medication before a refill will be allowed.
The benefit information provided is a brief summary, not a complete 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 of each year. Limitations, copayments, and restrictions may apply. See plan documents.
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. Plan features and availability may vary by location and are subject to change each year.
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.
This material is for informational purposes only. 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. 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.
