Medicare Drug Plans
Aetna Medicare Rx Plans (PDP): Find 2013 Prescription Drugs
How do you know which prescriptions are covered?
Check out our Preferred Drug List for the Aetna Medicare Rx® Plans (PDP).
First choose the plan you're interested in. Then click the "+" to expand the section. You'll see the prescription drug list, prior authorization, step therapy and transition of coverage documents. You can also select a link to see drug list changes that might impact you. Or you can use an online tool to see if your prescription drug is covered. The "-" allows you to close the section.
+Aetna CVS/Pharmacy Prescription Drug Plan (PDP)
+Aetna Medicare Rx Essentials Plan (PDP)
+Aetna Medicare Rx Premier Plan (PDP)
+Aetna Medicare Advantage Plan with Prescription Drug Coverage (MAPD)
+Transition of coverage 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.
If you live in a Long Term Care facility and are entitled to a transition supply, we will cover a 31-day supply (unless your prescription is for fewer days) and will also honor refills up to a maximum of a 93-day supply and may be up to a 98-day transition supply (consistent with the dispensing increment) during your transition period.
+What is the formulary?
The Aetna Medicare Preferred Drug List, also known as our formulary, includes both brand-name and generic prescription drugs. You may be able to reduce your costs by asking your doctor to prescribe drugs in a preferred tier.
- Brand-name prescription drugs are marketed by manufacturers with a brand or trade name. When the manufacturers lose their patents for brand-name drugs, 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. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug's manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and let members taking the drug know.
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