Medicare Prescription Drug Plans (PDP) have a network of pharmacies. You’re required to use a pharmacy in the network to fill your prescriptions.
If you take medications regularly, our home delivery pharmacy may be a great option for you. Your formulary (drug list) tells you if a medication is available for home delivery.
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
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