Medicare Drug Plans

Aetna Medicare Rx Plans (PDP): Find 2011 Prescription Drugs

How do you know which prescriptions are covered?
Check out our Preferred Drug List for the Aetna Medicare Rx^® Plans (PDP).

• Find your prescription drugs for the 2011 plan year
  Use our Formulary Finder tool to look up your prescriptions online and see if they're covered under one of our plans.
  
• View prescription drug list changes for the 2011 Aetna Medicare Rx Plan (PDP) — Last updated 12/23/2011
• View and/or Print 2011 Aetna Medicare Formulary Documents
  

Comprehensive Formulary	Notice of Changes to the Formulary	Abridged Formulary	Prior Authorization Criteria	Step Therapy Criteria
2011 Aetna Medicare Rx Plan (PDP) prescription drug list	Summary of changes to our list of covered prescription drugs, effective on January 1, 2011	2011 Aetna Medicare Rx Plan (PDP) partial prescription drug list	Certain drugs require your provider to contact us for prior approval before filling your prescription	Required if you take a Medicare Part D prescription drug for which an equally effective and less expensive drug is available
Y0001_M_PE_MM_00637 CMS Approved 08/16/2010 (152 pages, 1,925kb)	Y0001_M_PE_MM_00743R1 CMS Approved 03/04/2011 (18 pages, 165kb)	Y0001_M_PE_MM_00636 CMS Approved 08/16/2010 (35 pages, 1,565kb)	Y0001_M_OT_WB_01239_R1 CMS Approved 06/02/2011 (93 pages, 349kb)	Y0001_M_OT_WB_01240 CMS Approved 12/22/2010 (4 pages, 36kb)
Last Updated 12/23/2011	Last Updated 3/9/2011	Last Updated 11/22/2010	Last updated 12/23/2011	Last updated 12/23/2011

• Review Aetna's Public Notice of Transition Process
  Y0001_M_OT_WB_10670 CMS Approved 10/04/2011 (4 pages, 50 kb)

  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:

  • that you may already be taking and
  • that is not on our formulary, or
  • that requires prior authorization (precertification), quantity limits, or step therapy.

   

  What is the formulary?

  The Aetna Medicare Preferred Drug List, also known as our formulary, includes both brand-name and generic prescription drugs. When your doctor prescribes medications in a preferred tier level from the formulary or one that is covered in a closed formulary, it helps you reduce costs.

  • Brand-name prescription drugs are marketed by manufacturers with a brand or trade names. When the manufacturers lose their patents, generic versions may become available. 
  • Generic drugs have the same active ingredients in the same amounts as brand-name drugs. Generic prescription drugs usually cost less than brand-name prescription drugs and are rated by the FDA to be as safe and effective as brand-name drugs.

  All drugs are FDA approved 

  All the medications on the formulary have been approved by the U.S. Food and Drug Administration (FDA). This includes generic drugs as well as brand-name drugs. The FDA promotes and protects public health by making sure prescription drugs and other products are safe, effective, and reach the market in a timely way. Once medications and other products have entered the market, the FDA keeps track of them for continued safety.

  Regular updates keep the formulary current

  The Aetna Medicare formulary is updated from time to time and may change during the year. We will let affected members know at least 60 days before a medication is removed from coverage, moved to a higher cost-sharing level, or if precertification, quantity limit or step-therapy restrictions have been placed on a medication.

  Quality assurance policies

  Aetna members should refer to their Evidence of Coverage to learn more about quality assurance policies and procedures, including utilization management, drug utilization review, and medication therapy management programs. Aetna's Medicare Rx Evidence of Coverage PDF files can be found in the Help and Resources > Download Documents section of this website under Evidence of Coverage. Find your plan, open the PDF, and go to the "Drug Management Programs" section.

  Medication Therapy Management (MTM) programs are aimed at helping members safely and effectively take medications prescribed by their physicians. Eligible members will be offered a medication review. Trained professionals will do the review by phone. Aetna Medicare's 2011 MTM programs include members:

  (1) with two or more chronic conditions from the following list:

  • Asthma
  • COPD
  • Heart Failure
  • Hypertension
  • Diabetes
  • Rheumatoid Arthritis

  (2) on eight or more Part D covered medications

  (3) likely to spend over $3000.00 per year on those medications