For members who take prescription medicine every month for chronic and complex conditions, costs can be expensive — for them and for employers and organizations providing insurance.
We can help you manage these costs more effectively through our in-house pharmacy services: Aetna Rx Home Delivery® mail-order pharmacy and Aetna Specialty Pharmacy® medicine and support services*.
Aetna Rx Home Delivery
Do your members require maintenance medicine?
These drugs treat conditions like arthritis, asthma, diabetes or high cholesterol.
It's quick and easy to fill prescriptions for these drugs with our Aetna Rx Home Delivery mail-order pharmacy. Learn more.
Lower costs for generic and brand-name drugs may result in plan savings for you and your Aetna members.
Convenient, consistent care
Members will find using Aetna Rx Home Delivery easier than visiting their local pharmacy every month. They can get the medicine they need sent right to their home, doctor’s office, or anywhere they choose.
Greater supplies, lower copayments
Members can get up to a 90-day supply, if allowed by their plan and approved by their doctor. And they may pay less for that larger amount than for three smaller fills of a 30-day supply or less at a retail pharmacy.
Lower overall medical costs
Because their medicine is delivered to their home and in a greater supply, members 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 for you.
Aetna Specialty Pharmacy
Do your members require specialty medicine?
These drugs treat conditions like multiple sclerosis, rheumatoid arthritis, anemia or cancer.
They are unique for many reasons. Your members can get these drugs, and the extra support needed during their treatment, through Aetna Specialty Pharmacy. Learn more.
Personalized clinical support
Specialty drugs are unique for many reasons. And they can also be difficult to get used to. Trained nurses and pharmacists work with your members, giving them the individual support and attention they need to help overcome those difficulties and take their medicine as directed. Services include:
Aetna Specialty Pharmacy monitors each member’s progress throughout their treatment. They track therapy related issues, guidance offered, and any changes the prescribing doctor may make based on our monitoring and support.
By studying outcomes, we can show how our work with members and their doctors helps to lower your health plan costs.
Did you know?
Aetna Specialty Pharmacy saved health plans more than $728,000 by managing Synagis® therapy during the 2012-2013 dispensing season.1 This treatment usually requires a course of three injections, and is meant to help protect infants born prematurely and other high-risk babies from respiratory syncytial virus (RSV).
The pharmacy reviewed each order to ensure it met standard clinical guidelines for medical necessity and dosage.
Aetna Rx Home Delivery and Aetna Specialty Pharmacy continually receive high marks.
Encourage your employees to use Aetna Rx Home Delivery or Aetna Specialty Pharmacy
Plan designs are available that encourage your members to fill their prescriptions through these pharmacies. Talk to us about what plan options might be right for you.**
* Aetna Specialty Pharmacy and the Specialty Pharmacy Network may not be available to California HMO members. Doctors may have agreed to dispense and administer these drugs to members themselves. Or they may write a prescription so that members can fill them at any participating retail or mail-order pharmacy.
**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 2013.
2Aetna Rx Home Delivery research and analysis conducted by DSS, an independent market research firm, Full Year 2012.
3Aetna Specialty Pharmacy research and analysis conducted by DSS, an independent market research firm, Full Year 2012.
For complete information on plans and products, including availability, details, and brochures, please contact Aetna or your broker.