Anyone who takes prescription medicine for a chronic condition knows how expensive it can be. It’s also expensive for employers and insurance companies. But with Aetna’s in-house pharmacy services — Aetna Rx Home Delivery® and Aetna Specialty Pharmacy® — it’s easy to manage these costs more effectively. Plus, members get the added convenience of having prescription drugs delivered right to their door.
Specialty medicines treat conditions like multiple sclerosis, rheumatoid arthritis, anemia and cancer. These drugs may be injected, infused or taken by mouth. With Aetna Specialty Pharmacy, members are able to get these drugs, as well as extra support to understand how to use them correctly.
We provide access to trained nurses and pharmacists who can help members make sure they take their medicines as directed. Services include:
Maintenance medicines are ones that people take long term. They treat conditions like asthma, diabetes and high cholesterol. With Aetna Rx Home Delivery, it’s quick and easy to fill prescriptions for these drugs — and to save money, too.
With Aetna negotiating prices on their behalf, members can enjoy lower costs for generic and brand-name drugs.
With their doctors' okay, members can get up to a 90-day supply of their maintenance medicine, or the most allowed by their plan. A 90-day supply filled by mail may cost less than three 30-day refills at a retail pharmacy.
When medicine is sent by mail, it’s delivered right to the member’s home, office or anywhere he or she chooses. A larger supply sent by mail also makes it easier for people to keep taking their medicines as directed. This improves their health and can lead to fewer costly trips to the emergency room. And that can mean lower overall medical costs for employers.
Members who need extra support have access to the Aetna Specialty Health Care ManagementSM nurse team. Our goal is to boost productivity, improve the health of our members and reduce the costs of expensive treatments and urgent care.
Over 12 months, this nurse team helped to lower the cost of care for members with multiple sclerosis by 29% ($93 per member, per month).1 These members also had a 47% reduction in specialist visits and a 19% reduction in MRIs.1 This meant fewer trips to the doctor for members, and lower costs for everyone.
*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.
1Based on actual results. Aetna internal study, Aetna Comparative Effectiveness Analysis. August 2012.
2Aetna Specialty Pharmacy research and analysis conducted by DSS, an independent market research firm, full year 2012.
3Aetna Rx Home Delivery research and analysis conducted by DSS, an independent market research firm, full year 2012.