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Pharmacy Plan Designs
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Pharmacy Delivery Options
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Pharmacy Clinical Programs
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For employees who take medicine every month for chronic and complex conditions, prescription drug costs can be expensive — for them and for employers and organizations providing insurance.
We can help you manage these costs more effectively through our mail-order and specialty pharmacy services. (Specialty pharmacy services are disease-specific treatment programs for complex medical conditions, such as anemia, hepatitis and rheumatoid arthritis.)
Aetna Specialty Pharmacy® saved health plans more than $6.3 million by managing Synagis® therapy.1 This monthly injection helps protect infants born prematurely and other high-risk babies from RSV, the leading cause of infant hospitalizations.2
Aetna Rx Home Delivery ®
Fills prescriptions for members who take medicine for chronic conditions like asthma, diabetes, high cholesterol and heart problems.
Learn more about ordering prescription drugs.
Advantages
Negotiated rates on generic and brand-name drugs. These lower costs may result in savings for you and your employees.
Greater supplies, lower copayments. Employees can get a 90-day supply instead of the normal 30-day supply sent to their home. And they may pay less for that larger supply than for three smaller fills at a retail pharmacy.
Increased medication compliance rates. Because their medicine is delivered to their home and in a greater supply, your employees are more likely to stay on therapy and stay healthier. This can lead to fewer costly trips to the emergency room — which can mean lower overall medical costs.
Aetna Specialty Pharmacy ®
Fills prescriptions for members who take medicine for complex conditions like multiple sclerosis, rheumatoid arthritis, anemia and cancer.
Learn more about specialty medications.
Advantages
Services beyond what retail pharmacies can deliver. Injected, infused or taken by mouth, specialty medications* require special handling and patient support.
We can dispense and deliver specialty medications cost effectively. And we can provide the training and support that your employees need.
Monitoring and counseling helps your employees stay on track with their therapy, keeping them as healthy as possible. The healthier they are, the less likely they are to require high-cost emergency or hospital care.
Employee motivators
Want employees to use Aetna Rx Home Delivery® or Aetna Specialty Pharmacy®?
Design plans that encourage them to switch to our mail-service or specialty pharmacy. Talk to us about the plan options available.**
*Specialty medications, other than as needed for chronic or emergency medical conditions, and/or Specialty Pharmacy Network are not available to California HMO members.
**Availability varies by funding arrangement, service area and underlying plan. Check with your broker or Aetna representative. Or contact us.
1Aetna Synagis Season Statistics Report March 2008.
2What is RSV: Understand the risk of severe RSV disease.” Medimmune. Available at: http://www.synagis.com/what-is-rsv.aspx. Accessed May 22, 2009.
3Aetna Rx Home Delivery research and analysis conducted by DSS, an independent market research firm, First Quarter 2009.
4Aetna Specialty Pharmacy research and analysis conducted by DSS, an independent market research firm, First Quarter 2009.
For complete information on plans and products, including availability, details, and brochures, please contact Aetna or your broker.
Health benefits and health insurance plans contain exclusions and limitations.
This material is not intended for use in
AZ, CA and FL.