Aetna Medicare Part D plans have a network of pharmacies throughout the country. It includes major retail pharmacy and grocery store chains and local independent pharmacies. The Pharmacy Search tool lets you see preferred and standard pharmacies in your area. You’re required to use a pharmacy in the network to fill your prescriptions.
If you take medications regularly, our mail order pharmacy may be a great option for you. Your formulary (drug list) tells you if a medication is available for mail order.
Sometimes you can save money by asking your doctor to prescribe the generic version of a brand-name medicine. Generic versions of brand-name drugs:
There are time guidelines for refilling your drugs.
At a retail pharmacy:
Through a mail-order pharmacy:
If you order too early, the pharmacy won’t give you the refill until the approved date.
You can get prescription drugs shipped directly to your home. Often, mail-order drugs arrive within 7 to 10 days. Call the number on your ID card if you don't get your mail-order drugs within this time. You can also sign-up for automated mail-order delivery.
Medicare only covers prescription drugs sold, filled and used in the U.S. and its territories.
Our network specialty pharmacy focuses on medicines that aren’t usually available at retail pharmacies. It offers:
There may be times when you need to use an out-of-network pharmacy:
If one of the above reasons doesn't apply, we won’t reimburse you for your prescription filled out of network.
If one of the above reasons applies, you'll have to pay the full cost when filling the prescription. You may get a smaller amount of your medicine until you can get to a network pharmacy.
For reimbursement, send us a claim form and your receipt. We'll reimburse you for the amount you paid up to a 10-day supply, minus your copay or coinsurance.
Your plan coverage document (Evidence of Coverage) has more details about out-of-network pharmacies.
Aetna members have access to contact information and resources specific to their plans.
Aetna handles premium payments through InstaMed, a trusted payment service. Your InstaMed log-in may be different from your Caremark.com secure member site log-in.
Aetna handles premium payments through Payer Express, a trusted payment service. Your Payer Express log-in may be different from your Aetna secure member site log-in.
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