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Group pharmacy plans

Now that we’re together with CVS Health®, you’ll see a new standard in pharmacy benefits management to help keep your members healthy, and prescription drug costs low.

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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

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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.

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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. 

 
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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.