Filling Your Medicare Prescriptions

We make it easy to fill your prescriptions

We’ve got you covered, with more than 60,000 pharmacies in our nationwide network. And more than 20,000 of them are preferred pharmacies that could save you money.

Find your pharmacy in our 2017 network

Save money by using preferred pharmacies

Review our 2017 preferred pharmacy list

Get your prescriptions by mail

Aetna Rx Home Delivery® is our preferred network mail-order pharmacy. Your maintenance medicines can be sent directly to your home or anywhere you choose.

Learn about our mail order pharmacy

Save money by using generics (collapsed): 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:

Have the same active ingredients in the same amounts

Typically cost less

Are declared by the Food and Drug Administration to be just as safe and effective
When to request a refill (collapsed): There are time guidelines for refilling your drugs.

At a retail pharmacy:

For a 30-day prescription

- Order a refill when you have a 7-day supply left

For eye-drop medication

- Order a refill when you have a 9-day supply left

Through a mail-order pharmacy:

For a 90-day prescription

- Order a refill when you have a 22-day supply left

For eye-drop medication

- Order a refill when you have a 27-day supply left

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 14 days. Call the number on your ID card if you don't get your mail-order drugs within this time. You can sign-up for automated mail-order delivery.

Medicare only covers prescription drugs sold, filled and used in the U.S. and its territories.
Using Aetna Specialty Pharmacy (ASRx)
(collapsed): Our network specialty pharmacy focuses on medicines that aren’t usually available at retail pharmacies. It offers:

Injection supplies, like needles, syringes, alcohol swabs, adhesive bandages and containers for needle waste at no cost to you

Fast, no-cost delivery

Package tracking

Delivery to your home, doctor’s office or place of choice

Support and education to help you use your medicines and manage your health condition

Flexible payment options

Information on drug maker programs that offer financial help
Using an out-of-network pharmacy
(collapsed): There may be times when you need to use an out-of-network pharmacy:

There’s no network pharmacy close or open 24 hours

You need a prescription drug that nearby network or mail-order pharmacies don’t often stock, like drugs for rare medical conditions

You get a Part D prescription drug from an out-of-network provider pharmacy from:

- An emergency room
- A provider-based clinic
- An ambulatory surgical center
- An outpatient setting

You get a prescription outside of your home or service area due to:

- A state or federal disaster declaration
- Other public health emergency

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.

Print a prescription drug claim form

Your plan coverage document (Evidence of Coverage) has more details about out-of-network pharmacies.

See your Evidence of Coverage

We're here to help!

Members:
Email us or call Member Services at the number on your ID card.

Don’t have your ID card handy?
Find a phone number

Not yet a Member?
Email us or call an Aetna representative at (TTY: 711), Monday through Friday, 8 a.m. to 8 p.m.

We speak your language (collapsed): We have free interpreter services to answer questions you may have about our health or drug plan.
Get help from an interpreter

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Visite nuestro sitio en español

Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays.

Aetna Medicare’s pharmacy network offers limited access to pharmacies with preferred cost sharing in: Suburban NY; and Rural AR, NY, and UT. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at http://www.aetnamedicare.com/pharmacyhelp.

We receive rebates from drug manufacturers that may help in determining our Preferred Drug List. Rebates do not directly reduce the amount a member pays the pharmacy for covered prescriptions.

Participating doctors, hospitals and other health care providers are independent contractors. They're neither agents nor employees of Aetna. The availability of any particular provider can't be guaranteed. Provider network make-up is subject to change.

Our pharmacy network meets or exceeds CMS requirements for pharmacy and preferred pharmacy access in your area.

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Filling Your Prescriptions

We make it easy to fill your prescriptions

Save money by using preferred pharmacies

Get your prescriptions by mail

We're here to help!

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