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Find A Medication - 2020 Advanced Control Plan

2020 Drug Coverage

Advanced Control Plan

We list only the most common drugs covered under your plan. To check coverage and copay information for a specific medicine log in to your secure member website after your effective date.

Search to see if a drug is covered

Advanced Control Plan drug guide

Changes to this guide effective 7/1/20

Changes to this guide effective 10/1/20

Change year or plan type

2020 - Other plan information

These drugs appear in the main list, but have been grouped into categories to make them easier to find.

HSA-associated plans: Prescription drugs on the Preventive list below will be covered as if you have already met your deductible. You are responsible only for your copay.

HRA-associated plans: Prescription drugs on the Preventive list and/or the Chronic list below could be covered as if you already met your deductible. You would be responsible only for your copay. To find out which lists apply to you, check your plan benefits documents.

Preventive Medicine List

Chronic Medicine List

Preventive drugs and products
 - Under health care reform, you can get some drugs and products with no member cost share. This means they are covered 100 percent by your plan. This list shows some common examples.

Preferred specialty drugs and formulary excluded specialty drugs

Specialty drugs requiring prior authorization

Specialty drugs that must be ordered from an in-network pharmacy
 - Specialty drugs treat complex conditions that often require support by a nurse or pharmacist during treatment.  These drugs may be injected, infused or taken orally and may require special handling.

Aetna Value drug list fixed-rate copay
 - Choosing a drug from this list will help you get the most value from your drug coverage.

Aetna Healthy Actions℠ program – This program provides certain services and drugs to eligible members at low or no cost. Check with your employer to see if these lists apply.

Aetna Healthy Actions drugs - by drug class

Aetna Healthy Actions drugs - CareEngine powered

Step Therapy Drug list

High Performance Generic Step Therapy
 - Check your plan documents to see if step therapy applies. These brand-name drugs require step therapy. If you fill a prescription for one of these drugs first, without trying a generic or preferred brand, your prescription may not be covered.

Medical exceptions for non-covered drugs

About your drug list

What is a formulary?

A formulary is a list of drugs covered under your plan, with details about the type of coverage. You may hear the word "formulary" during a doctor’s visit or when you pick up a prescription.

Does the main list include every covered drug?

Your pharmacy benefits plan includes thousands of drugs – too many to list. So your main drug list contains only the most commonly prescribed drugs.

For current Aetna members, to check coverage and copay information for a specific medicine log in to your secure member website. 

This material is for information only. CVS Specialty® and Aetna are part of the CVS Health family of companies. Your privacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information. The drugs on the Preferred Drug List Formulary Exclusions, Precertification, and Quantity Limit Lists are subject to change. The precertification and quantity limits drug coverage review programs are not available in all service areas. For example, precertification programs do not apply to fully insured members in Indiana. However, these programs are available to self-insured plans.

Information is believed to be accurate as of the production date; however, it is subject to change.

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This search uses the five-tier version of this plan

Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?

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