Check Our Medicare Drug List

See if your prescription drug is covered

Plan ahead by estimating your drug costs

2020 Drug Cost Lookup Tool

See if your prescription drug is covered

Prescription drug list (formulary)

Our prescription drug list (formulary) shows:

The drugs we cover
The tier a drug is on
Any limits or requirements before we cover the drug
Mail order availability

Other drug references

Changes to the drug list (formulary)

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 make a negative change to our formulary. Like if the FDA views a drug as unsafe or the drug maker removes the drug from 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 need 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. 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 2021 transition process

Details about our 2020 transition process

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Email us or call an Aetna representative at (Insert primary group phone here) (TTY: 711), ${nonAepHours}

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Y0001_4006_10829 Approved 10/27/2017
Page last updated: Thu Oct 15 13:27:19 UTC 2020

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Prescription Drugs

Live Well

Check Our Medicare Drug List

See if your prescription drug is covered

Plan ahead by estimating your drug costs

See if your prescription drug is covered

Other drug references

Changes to the drug list (formulary)

Prior authorization, quantity limits & step therapy

Transition rules

We're here to help!

We speak your language

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