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Pharmacy benefits
At Aetna Better Health® of Illinois, we cover a wide variety of prescription and over-the-counter medications to keep members healthy. We also mail members their medicine.
Covered medications
Covered medications
We cover the medications listed on our preferred drug list (PDL) at no extra cost to members. They can download our PDL or check it out online. If their medicine isn’t listed, then they can ask a provider:
- For a similar medication that is on the list
- To get prior authorization from Aetna Better Health of Illinois to cover this medicine
Pharmacy prior authorization
Pharmacy prior authorization
If a member needs prior authorization for a medication, then you can fill out a pharmacy prior authorization form on their behalf. Or you can call Provider Services at 1-866-329-4701 (TTY: 711). You can learn more about getting pharmacy prior authorization with the links below.
Filling prescriptions
We keep health care close to home. Members can fill their prescriptions at any pharmacy in our network.
Mailing prescriptions
If a member takes a maintenance medicine for an ongoing health condition, they can have it mailed to their home. We work with CVS Caremark® to give members this service at no extra cost. Members can expect each order to be checked for safety. And they can speak with a pharmacist anytime on the phone.
They’ll need the following information to get started:
Plan member ID card
Mailing address, including ZIP code
Doctor’s first and last name and phone number
A list of their allergies and other health conditions
Their original prescription from their doctor (if they have it)
Getting started
Members can call the CVS Caremark toll-free number at 1-855-271-6603 (TTY: 711), 24 hours a day, 7 days a week. They’ll let members know which of their medicines can be filled through the CVS Caremark Mail Service Pharmacy. They’ll also contact the member’s doctor for a prescription and mail them their medicine.
Members with prescriptions
They can sign up for our mail service:
Online
They can log in to the secure Member Portal. Go to “Tasks” and then “pharmacy services.” Select the “CVS” link to go to the CVS Caremark website. Then, choose “start mail service.”
Fill out an order form
If they already have a prescription, they can fill out a mail service order form (PDF) and send it to:
CVS Caremark
PO Box 2110
Pittsburgh, PA 15230-2110
Or they can request to have a form mailed to them by calling Member Services at 1-866-329-4701 (TTY: 711).
Specialty medications
Specialty medications are for chronic issues. They can be injected or taken orally. Our preferred specialty pharmacies provide many helpful services, including:
Free, secure delivery within 48 hours of confirming a member’s order
Delivery to the member’s home, doctor’s office or somewhere else
Package tracking
Training on how to self-inject their medicine
Free injection supplies, such as needles, syringes, alcohol swabs, adhesive bandages and containers for used needles
Getting started with specialty pharmacies
A doctor can fill a new prescription for a member by contacting one of our preferred specialty pharmacies below. A member or their doctor can transfer the member’s prescription by contacting a specialty pharmacy in our network.
- OptumRx Pharmacy — phone: 1-855-427-4682; fax: 1-877-342-4596
- CVS Specialty® pharmacy — phone: 1-800-237-2767; fax: 1-800-323-2445
- Orsini Specialty Pharmacy — phone: 847-734-7373; fax: 847-734-1822
- AcariaHealth — phone: 1-800-511-5144; fax: 1-877-541-1503
- Specialty Therapeutic Care — phone: 1-866-506-2626; fax: 1-800-696-0607
- Foundation Care Pharmacy — phone: 1-877-291-1122; fax: 1-877-291-1155
Simple Dose™
Pharmacists at a member’s local CVS Pharmacy® can organize their medicine for them at no extra cost. The pharmacist will put the member’s maintenance medicine in 30-day perforated packages. And clearly label the time and date when they should take their medicine. Then, the pharmacist will send the member’s order to their home or local CVS Pharmacy.
The member can sign up today:
By phone
They can call CVS Pharmacy, Monday through Friday, from 8 AM to 6 PM, at 1-800-753-0596 (TTY: 711).
In person
They can sign up with a pharmacist at their local CVS Pharmacy.
