Check our drug list

With the Boeing-sponsored Aetna Medicare Advantage plan, you get supplemental benefits to cover prescription drugs not covered by Medicare.

The amount you pay when you fill a prescription with the Non-Part D Supplemental Benefit does not count toward your total drug costs. (This amount does not help you qualify for catastrophic coverage.)

If you are receiving Extra Help to pay for your prescriptions, it will not apply for these supplemental benefits.

Learn more about the Non-Part D Supplemental Benefit (PDF)

Members who reside in U.S. Territories:

Learn more about the Non-Part D Supplemental Benefit (PDF)

Essential Health Supplemental Benefit

The Boeing-sponsored Aetna Medicare Advantage plan also includes the Essential Health Supplemental Benefit.  You will have a $0 cost share for prescription drugs covered under this benefit.

Learn about the Essential Health Supplemental Benefit (PDF)

Members who reside in U.S. territories:

Learn about the Essential Health Supplemental Benefit (PDF)

Prescription drugs included in the above documents and marked “ND” are not covered by Medicare Part D and are not included in your formulary drug list.  The amount you pay when you fill a prescription for these non-Part D drugs does not count toward your total drug costs. (This amount does not help you qualify for catastrophic coverage.) You are unable to file a Medicare appeal or grievance for these drugs, and if you get Extra Help from Medicare to pay for your prescription drugs, it will not apply to these drugs.

All other prescription drugs are part of your Medicare prescription drug coverage and can also be found in your drug list (formulary). Payments for these prescription drugs (made by you or the plan) are treated the same as payments made for drugs on your plan’s Drug List.  Information about the appeals and grievance process for these prescription drugs and supplies can be found in your Evidence of Coverage.

Changes to the formulary (list of covered drugs)

We review our drug list on a monthly basis and make changes as necessary. Most changes are positive. An example would be adding new generics that have come on the market.

Sometimes we have to remove a drug from our formulary. An example is if the U.S. Food and Drug Administration (FDA) says a drug is unsafe or the drug maker takes the drug off the market.

Prior authorization, quantity limits & step therapy

Some drugs have rules you need to follow before we cover them. These include:

• Prior authorization: You or your doctor must get approval from us before we cover the drug. 

• Step therapy: We require you to try another drug first before we cover your drug. 

• Quantity limits: For certain drugs, we limit the amount you can get. 

You and your doctor can ask us to make an exception to one of our coverage rules. This includes requesting an exception to a prior authorization, step therapy or quantity limit rule.

Request an exception online

Transition rules

There may be times where you’re taking a drug that either isn’t on our drug list or has special rules before we cover it. Learn about our transition process to see if you’re eligible for a short-term supply of medication while you move to a drug we do cover. This temporary supply allows you to work with your doctor to either transition to a new drug or request an exception to continue your current drug.

Details about our 2023 transition process (PDF)