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Drug List search tool and updates

We make it easy to manage your medicine. For your peace of mind, it helps to know that a drug you take is covered. Our List of Covered Drugs (Formulary) shows the drugs we cover, any limits or requirements and mail order availability. Stay up-to-date with our Drug List. 

Our Drug List search tool 

 

There are many different things you can do with our Drug List search tool. You can: 

 

  • Search for your medicine by name or class 

  • Find generic alternatives to a medicine  

  • See if a medicine has quantity limits or requires prior authorization  

Some drugs have rules you need to follow before we cover them. These include:

 

  • Prior authorization: You or your doctor needs approval from us before we’ll cover the drug.
  • Quantity limits: For certain drugs, we limit the amount you can get.
  • Step therapy: We require you to try another drug first before we’ll cover your drug.

2024 List of Covered Drugs (Formulary)   English (PDF)

 

2024 List of Covered Drugs (Formulary)   Español (PDF)

 

Requirements or limits on Part B drugs

Under Aetna Assure Premier Plus (HMO D-SNP), some drugs may have special requirements or coverage limits. We’ll help you find the information you need.

 

 

How step therapy works

Some medically administered Part B drugs, like injectables or biologics, may have additional requirements or coverage limits. That may include step therapy, where we require a trial of a preferred drug to treat a medical condition before covering another non-preferred drug. 

 

Here’s an example:

If Drug A and Drug B both treat a medical condition, we may prefer Drug A and require a trial of it first. If Drug A does not work, we’ll then cover Drug B. The listed preferred products should be used first.

 

Note: The step therapy requirement does not apply to patients who’ve already received treatment with the non-preferred drug within the past 365 days.

 

 

Find preferred drugs

We’ve compiled the Aetna Assure Premier Plus (HMO D-SNP) Medicare Part B Preferred Drug List below for your convenience. Please click below:

 

2024 Medicare Part B Step Therapy Preferred Drug List

The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary.    

Do you have a question?

You can call Member Services anytime at 
1-844-362-0934 (TTY: 711).

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