Filling Your Medicare Prescriptions

We make it easy to fill your Medicare prescriptions

We’ve got you covered with more than 63,000 pharmacies in our nationwide network. And more than 23,000 of them are preferred pharmacies that could save you money.

Find your pharmacy in our network

Save money by using preferred pharmacies

Review our 2019 preferred pharmacy list

Get your prescriptions by mail

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.

Learn about home delivery

Save money by using generics

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

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 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.

Using Aetna Specialty Pharmacy (ASRx)

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

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

Print a prescription drug claim form (Spanish)

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!

Call us at 1-844-233-1939
(TTY: 711), Monday to Friday,
8 a.m. to 6 p.m., all time zones.
Or call Member Services at
the number on your ID card.

We speak your language: 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 HMO, PPO plan with a Medicare contract. 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.

For the 2019 plan year, Aetna Medicare’s pharmacy network includes limited lower cost preferred pharmacies in: Rural Wisconsin, Rural Missouri, Rural Arkansas, Rural Oklahoma, Rural Kansas, Rural Iowa, Rural Minnesota, Rural Montana, Rural Nebraska, Rural North and South Dakota, and Rural Wyoming. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. (Updated 10/2019)

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, 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.

For the 2020 plan year, Aetna Medicare’s pharmacy network includes limited lower cost preferred pharmacies in: Urban and Rural Michigan, Rural Nebraska, Rural Maine, Suburban Illinois, Suburban South Carolina. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. (Effective 1/2020)

This information is not a complete description of benefits. Call 1-855-335-1407 (TTY: 711) for more information.

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

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 physicians, 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.

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Prescription Drugs

Live Well

Filling Your Prescriptions

We make it easy to fill your Medicare prescriptions

Save money by using preferred pharmacies

Get your prescriptions by mail

Save money by using generics

When to request a refill

Using Aetna Specialty Pharmacy (ASRx)

Using an out-of-network pharmacy

We're here to help!

We speak your language

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