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Medicare prescription drug (Part D) plans have a network of pharmacies.
You're usually required to use a pharmacy in your plan's network to fill your prescriptions.
If you take medications regularly, our home delivery pharmacy may be a convenient and safe 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.
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
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:
Injection supplies, like needles, syringes, alcohol swabs, adhesive bandages and containers for needle waste at no cost to you
Fast, no-cost delivery
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
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:
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 does apply, 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 Evidence of Coverage document has more details about out-of-network pharmacies.
Please note that following this link will take you to a public Aetna site and not all links on this public page will apply to your Medicare Advantage plan.