How The Prescription
Drug Plan Works |
Available Plans &
Costs |
Covered Drugs |
Pharmacies |
Ways To Save More |
Savings Examples |
Eligibility |
Enrollment |
Exceptions &
Appeals
How do I fill my covered prescriptions?
Visit one of the more than 56,000 retail pharmacies nationwide that participate in the Aetna Medicare RxSM plans. The pharmacy network includes big-name stores such as CVS, H-E-B and Rite Aid, along with neighborhood pharmacies. Receive prescription drug coverage by showing your Aetna Medicare member ID card at any network pharmacy.
You can find a participating pharmacy in one of four ways:
- Check with your current pharmacy to see if they participate in the Aetna Medicare Rx plans.
- Use our Aetna Medicare Solution Center to look up pharmacies near you.
- Select to compare plans (choose the plan year you are interested in)
- Choose “Pharmacy Finder” from “Helpful Tools” (in the lower left)
- Learn about our prescription mail-order services by visiting the Aetna Rx Home Delivery page.
- Call our Member Services toll-free number at 1-800-213-4599 (TTY/TDD 1-800-628-3323), 8 a.m. to 8 p.m., 7 days a week.
You must show your Aetna member ID card at participating pharmacies to maximize your benefits under the plan.
Save when you order medications by mail
Aetna Rx Home Delivery® is our mail-order prescription service. Use it:
- For maintenance medications you take regularly to treat chronic conditions and diseases, such as arthritis, asthma, diabetes, high cholesterol, heart disease and others.
- As a convenient and cost-effective way to obtain your medications in quantities of up to a 90-day supply. Once you send your prescription to Aetna Rx Home Delivery, your medications are processed and mailed right to your home, with no shipping charges.
For a specific question about the status of a prescription sent to or filled by Aetna Rx Home Delivery, call 1-866-612-3862. Customer Service representatives are available to take your calls during the following hours:
Weekdays 7 a.m. - 11 p.m. ET
Saturday 8 a.m. - 9:30 p.m. ET
Sunday 8 a.m. - 6 p.m. ET
You can also find out more about Aetna Rx Home Delivery or check the status of your order online at:
www.aetnarxhomedelivery.com.
Aetna Specialty Pharmacy is available to fulfill your specialty injectable medication needs. Some injectable medications, often called specialty medications, are used to treat certain conditions such as hemophilia, hepatitis and multiple sclerosis. These drugs, as well as other disease-specific drugs, require special handling, storage or shipping.
Aetna Specialty Pharmacy:
- Provides convenient mail-order services for specialty medications that are not always available at retail pharmacies.
- Offers educational and clinical support services to help members manage their medications and health conditions.
- May require a copay for specialty injectable medications, depending on your benefits plan. Please refer to your plan documents or contact Member Services at the number on your ID card for more information.
To learn more about Aetna Specialty Pharmacy, visit
www.AetnaSpecialtyPharmacy.com or call toll-free at 1-866-782-2779 (TTY/TDD 1-877-833-2779), Monday through Friday, 8 a.m. to 7 p.m. ET. Our dedicated team of patient care coordinators, pharmacists, and registered nurses is available to address all therapy support needs. Our clinical representatives are also available 24 hours a day, 7 days a week, to provide assistance.
About out-of-network pharmacies
You may use a non-network pharmacy for certain non-routine situations, including when:
- You are traveling and cannot get to a network pharmacy, or
- You have an emergency but cannot get your medication in a timely manner because there is no network pharmacy within a reasonable driving distance that provides 24/7 service, or
- The covered drug you need is out of stock at network pharmacies.
To be reimbursed for the cost of the drug minus your copayment (if applicable), you may need to submit claim forms to Aetna. You may need to pay an additional cost for drugs received at an out-of-network pharmacy.
Contact Us
Questions? Call us at 1-800-529-5586, (TTY/TDD 1-800-628-3323)
Monday - Friday, 8 a.m. - 6 p.m.
Find general Medicare contact information.
M0001_S5810_7A_70702
Updated 10/2007
