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Advanced Control Plan - Aetna
Lower premiums with aggressive controls
If you want to lower premiums through an exclusion strategy with more aggressive clinical management, try the Advanced Control Plan – Aetna. It covers select generic prescription drugs. And a few brands are preferred per class, including specialty medications.
Plan features:
- Advanced Control Specialty Formulary and specialty guideline management
- Hyperinflation and new-to-market controls
- Specialty network on first fill
- Safety edits and opioid quantity limits
- Pharmacy advisor counseling
- For fully insured customers only
Standard Opt Out Plan - Aetna
Flexible controls with cost protection
Control or protection? With the Standard Opt Out Plan – Aetna, you’ll never have to choose. This fully insured formulary covers most generics, and some brands, including specialty prescription drugs. With new-to-market controls for specialty drugs only.
Plan features:
- Advanced Control Specialty Formulary
- Hyperinflation and specialty guideline management
- Safety edits and opioid quantity limits
- Specialty network on first fill
- Pharmacy advisor counseling
- For fully insured customers only
Aetna Standard Plan
Generous coverage with targeted controls
If you want a generous plan that makes financial sense, the Aetna Standard Plan is for you. This self-insured formulary covers most generics and brands while excluding high-cost prescription drugs in favor of cost-effective alternatives. It’s a market leader.
Plan features:
- Advanced Control Specialty Formulary and utilization management
- Hyperinflation and new-to-market controls
- Optional step therapy package
- Buy-up options for precertification on non-specialty prescription drugs
- For self-insured customers only
Aetna Advanced Control Plan
Maximum control for the most savings
With the Aetna Advanced Control Plan, you get more clinical controls and less freedom to gain max savings. This self-insured formulary covers select generic prescription drugs, with a few preferred brands per class.
Plan features:
- Advanced Control Specialty Formulary and utilization management
- Hyperinflation and new-to-market controls
- Requires precertification, step therapy and quantity limits
- For self-insured customers only
Aetna High Value Plan
The lower-cost solution
If “savings” tops your benefits wish list, then consider the Aetna High Value Plan. This self-insured formulary covers generics first, including specialty prescription drugs, and select preferred brands.
Plan features:
- Advanced Control Specialty Formulary and utilization management
- Hyperinflation and new-to-market controls
- Precertification and Step Therapy
- For self-insured customers only
Cost savings from a company that cares
Cost savings from a company that cares
We’re helping members stay on therapy, and stay safe, through stronger clinical oversight. And we’re delivering greater access to care where they live and work, at a price they can afford.
Highlights include:
- A local network presence
- Support for specialty medicine needs
- Pharmacist counseling for chronic conditions
- ExtraCare Health® card savings, and more
Plus — every single formulary includes safety protocols for prescription drugs, including opioids and pain medicine. Along with utilization management for specialty drugs.
Add whole health to your pharmacy plan
Add whole health to your pharmacy plan
It’s easy with our range of dental, vision and other complementary benefits. They’re available standalone or with any pharmacy plan. Your Aetna rep can tell you more.
Get more from your pharmacy plan
You’ve got your member’s medicine needs covered. Now count on us to cover the right mix of programs, services and administration to keep business running smooth.
Health Plans
Pair your pharmacy plan with any Aetna medical plan to gain insight into medicine trends, for stronger health outcomes and savings.
Member Services
Keep members healthy and engaged with programs and services that keep whole health in mind.
Easy Administration
Explore quoting, enrollment and reporting tools to ease administration for plan sponsors and brokers.
Power of integration
Ask how pairing pharmacy and medical uncovers hidden trends and savings.
Legal notices
In Idaho, health benefits and health insurance plans are offered and/or underwritten by Aetna Health of Utah Inc. and Aetna Life Insurance Company. For all other states, health benefits and health insurance plans are offered and/or underwritten by Aetna Health Inc., Aetna Health of California Inc., Aetna Health Insurance Company of New York, Aetna HealthAssurance of Pennsylvania Inc., Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). In Florida by Aetna Health Inc. and/or Aetna Life Insurance Company. In Utah and Wyoming by Aetna Health of Utah and Aetna Life Insurance Company. In Maryland by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Each insurer has sole financial responsibility for its own products.
Health benefits and health insurance plans contain exclusions and limitations.