Pharmacy
Pharmacy
Aetna Better Health’s formulary drug list
The Formulary drug list is a list of drugs that are generally covered under the plan as long as they're medically necessary. The formulary also lists the availability of generic substitutes. The formulary can change.
Ask your doctor to review the Formulary Drug List for any restrictions or recommendations regarding prescription drugs before prescribing a drug for you. Then, make sure you get your prescriptions filled at an Aetna Better Health network pharmacy. The Member Handbook tells you how much you have to pay for your medicines based on your pharmacy benefit.
You now have the ability to use the new Formulary Search Tool to find out which medications are on the formulary drug lists. You can search by drug name or drug class. The search tool will show formulary status, generic alternatives and if there are any requirements, such as prior authorization, quantity limits or age limits. The formularies can change.
Find a pharmacy provider
You can find the location of an in-network pharmacy by visiting the CVS Caremark pharmacy locator. This allows you to search for a pharmacy by zip code so you can find a location close to you.
Specialty medications
Aetna Better Health Specialty Drugs are filled by CVS Health Specialty Pharmacy. A Specialty pharmacy fills drugs but has other services to help you. The Specialty Drug Program has special services for you:
- You can talk to a Pharmacist 24 hours a day, seven days a week
- Disease-specific education and counseling are available by CVS
- Care Coordination for you and your doctor
- Delivery of Specialty drugs to your home and/or your doctor’s office is available for drop off and pick up at any CVS Pharmacy location (including those inside Target stores*)
You can contact CVS Specialty Pharmacy at 1-800-237-2767; TTY/TDD: 1-800-863-5488 from 7:30 a.m. (EST) to 9:00 p.m. (EST) time, Monday – Friday. CVS Specialty Pharmacy will assist you in filling your specialty drug. The specialty drug list is available here.
Additional Pharmacies in the specialty network:
Biovarix Pharmacy: Phone: 1-855-427-4682
Orsini Pharmaceuticals: Phone: 1-847-734-7373
Walmart Pharmacies (Specialty Only): Phone: 1-877-453-4566