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Your pharmacy benefits

At Aetna Better Health® of Kentucky, we cover a wide range of prescription and over-the-counter (OTC) medications to keep you healthier. 

Medications my plan covers

Medications my plan covers

Prescription medications

You can easily check the prescription medications we cover: 

 

Statewide preferred drug list (PDL) (PDF)

 

Supplemental formulary (PDF)

 

Search Supplemental formulary

 

If your medication isn’t listed, ask your provider: 

 

  • To prescribe a similar one that’s on the Statewide PDL or Supplemental formulary  

  • To get prior authorization (PA) for coverage

Need PA? Just ask your provider to fill out a pharmacy PA form. Or they can call 1-855-300-5528 (TTY: 711).

 

Did you pay for the cost of a prescription medication out of pocket? If yes, we can pay you back. Just fill out a prescription reimbursement form (PDF).

Other drug lists

 

You can see the list of medications we cover for Home Infusion or Preferred Diabetic: 
 

Home Infusion (PDF)
 

Preferred Diabetic (PDF)
 

To see any Quantity Level Limits (QLL), you can check this QLL Document (PDF). For more info, you can visit the Kentucky Department of Medicaid Services Website.

OTC medications

 

You can get coverage for OTC medications on the Statewide PDL (PDF) or Supplemental formulary.

 

  • Meet any added requirements (for some medications)

  • Get a prescription from your doctor

  • Fill your OTC prescription at a pharmacy in our network

You can also call 1-855-300-5528 (TTY: 711). When you call, have a list of your OTC medications ready. You can ask if your medications are on the list.

Get medications and refills

Get medications and refills

If you need medication, your provider will write you a prescription for one on the Statewide PDL or Supplemental formulary. You’ll want to:

 

  • Ask your provider to make sure the medication is on the Statewide PDL or Supplemental formulary

  • Take your prescription to a pharmacy in our network

  • Show your plan member ID card at the pharmacy

 

Need refills? Your medication label notes how many refills you have. A few days before you run out of medication, call your pharmacy to place a refill order. If the pharmacy doesn’t have any refills left and you need more medication, check with your provider. They may want to see you before prescribing refills. 

Fill your prescriptions

 

In person

 

You can fill your prescriptions at any pharmacy in our network.

 

Find a pharmacy near me

By mail

 

If you take maintenance medications for an ongoing health condition, you can get them by mail. We work with CVS Caremark® to give you this service at no extra cost. You can expect them to check each order for safety. And you can speak with a pharmacist anytime on the phone.

 

You’ll just need your:

 

  • Plan member ID card

  • Mailing address, including ZIP code

  • Doctor’s first and last name and phone number

  • List of allergies and other health conditions

  • Original prescription from your doctor (if you have it) 

Get started with mail service

Just call CVS Caremark at 1-855-271-6603 (TTY: 711). You can call 24 hours a day, 7 days a week. They’ll let you know which medications they can fill with the CVS Caremark Mail Service Pharmacy. They’ll also contact your doctor for a prescription and mail your medication to you. 

 

Already have a prescription? 


You can sign up for mail service:

Online 

 

Log in to the secure Member Portal. Then:

 

  • In “Tasks,” choose “pharmacy services” 

  • Choose the “CVS” link to go to the CVS Caremark website 

  • Choose “start mail service”

 

With an order form 

 

You can fill out a mail service order form (PDF). Then, send it to: 

 
CVS Caremark 
PO Box 2110  
Pittsburgh, PA 15230-2110

 

Or we can mail you a form. Just call us at 1-855-300-5528 (TTY: 711).

Specialty medications

Specialty medications

CVS Specialty® pharmacy provides many services, such as:

 

  • Delivery of specialty medications to your home or doctor's office 

  • Counseling on your medications and conditions

  • Coordination of care with you and your doctor

  • The option to drop off your prescription and pick up your medication at any CVS Pharmacy® location

  • The ability to talk to a pharmacist 24 hours a day, 7 days a week

 

Have questions or need help with these services? Just call CVS Specialty pharmacy at 1-800-237-2767 (TTY/TDD: 1-800-863-5488).

SimpleDose™

 

Need help organizing your medications? Pharmacists at your local CVS Pharmacy can do it for you at no extra cost. They'll put your maintenance medications in 30-day packs. And clearly label the time and date when you should take them. Then, they’ll send them to your home or local CVS Pharmacy. 

You can sign up today: 

By phone

Call CVS Pharmacy at 1-800-753-0596 (TTY: 711). They’re here for you Monday through Friday, 8 AM to 6 PM. 

In person

Sign up with a pharmacist at your local CVS Pharmacy. 

Online

Fill out an enrollment form online to sign up.

Sign up for SimpleDose  

Contact us

Questions? Just call Member Services at 1-855-300-5528 (TTY: 711).