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Aetna Federal Plans
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Preferred drug list

Your Pharmacy Benefits

Formulary

What is a formulary? It’s a list of drugs that can help you save money. We choose drugs for it that are safe and cost effective — they’re the drugs your health benefits or insurance plan prefers that you use. So when your doctor prescribes one of these drugs, it can help you control the cost of health care. Or lower the costs you pay out of pocket. The formulary includes both generic and brand-name drugs. Each drug is approved by the U.S. Food and Drug Administration (FDA). Any changes are based on the latest medical findings, as well as information from the FDA and drugmakers. Talk with your doctor to see if one might be right for you. Access this pharmacy information and other helpful links below:

View & download formulary lists:

Formulary list: All Aetna Federal plans (except Aetna Saver, Aetna Advantage & Aetna Medicare Advantage):

Formulary list: Aetna Saver and Aetna Advantage Federal plans (only):

Click here for the 2021 Preferred Drug Guide (Formulary) for (PDF)

Formulary list: Aetna Medicare Advantage Federal plan (only):

Prescription Drug Cost Calculator Tools

Please use the Pharmacy cost calculator tools to get estimated costs for prescription drugs on certain Aetna Federal Plans.

Skip the pharmacy line, and get your medicine by mail

Our mail-order pharmacies are also part of your benefits. These services are quick and private. You choose where your medicine is delivered — your home, your doctor’s office … wherever works for you. You get free standard shipping, too.

Enjoy two ways to get your medicine by mail:

1. CVS Caremark® Mail Service pharmacy

Use this option if you take medicine on a regular basis for conditions like arthritis, asthma or diabetes.
  • Get up to 90 days’ worth of medicine, or the most allowed by your plan.
  • Pay less for that larger supply, depending on your plan.

2. CVS Specialty medicine and support services

Use this option if you take specialty medicine for conditions like multiple sclerosis, rheumatoid arthritis or cancer.
  • Get this unique medicine packed safely and securely.
  • Receive tips and training on how to inject your medicine, if needed, and cope with side effects.
In addition to the three Never Event situations, the National Quality Forum (NQF) has released a list of twenty- five Serious Reportable Events. These are considered by NQF to be potentially avoidable conditions "which could reasonably have been prevented through application of evidence based guidelines". These conditions are not present when patients are admitted to a facility, but occur during the course of the stay.

How to order medicine, once you’re an enrolled member

Take these steps to submit new orders to CVS Caremark Mail Service Pharmacy:

Step 1 Ask your doctor to write TWO prescriptions.
  • Prescription #1: Is for a one-month supply. Fill it at a local retail pharmacy. With this short-term supply, you will have enough of your medicine on hand to see you through until your first CVS Caremark Mail Service Pharmacy order arrives.
  • Prescription #2: Is typically for a 90-day supply (with three refills). Send this one to CVS Caremark Mail Service Pharmacy.
Choose one of these ways to submit new orders to CVS Specialty:
  • Fax - Your doctor may fax your prescription to 1-800-323-2445
  • Phone - Your doctor may also call and speak to one of our registered pharmacists at 1-800-237-2767 (TDD: 1-800-863-5488) during our normal business hours of 7:30 a.m. until 9:00 p.m. ET.
  • Online - You can visit CVSspecialty.com and click on Get Started. Enter your information, the name of the medication and your doctor’s contact information. The CVS Specialty CareTeam will contact your doctor to get your prescription.
  • CVS Retail Location - You also have the option of dropping your specialty prescription off at any CVS Pharmacy® location. It will be transferred to CVS Specialty and a member of the CVS Specialty CareTeam will contact you.

Keep in mind

If you need a short-term supply of medicine: Just use a retail pharmacy near you. It’s easy to find one in our network — just log in to your Aetna member website.

Not a member yet?

Take a test run by using “federal3” for the username and password.

These online tools are available to our members through Aetna member website:*
  • Cost of Care Tool – find the average price for hospital stays, procedures and prescriptions.
  • Member Payment Estimator – provides real-time, out-of-pocket estimates for medical expenses based on your Aetna health plan.

*If you proceed with the Cost of Care & Member Payment Estimator Tools pricing information is not guaranteed and is an estimate of the total cost. Please read the Plan’s Federal brochures to evaluate the cost of medical expenses. For additional information about prescription drugs, please refer to the Aetna Preferred Drug (formulary) Guide on www.aetnafeds.com/pharmacy for more information.

New Hires have 60 days to choose benefits.

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