Pharmacy

Whether it’s pain medications after an injury or medication to manage a health condition, getting the prescription drugs you need is an important part of your health care. We want to make it as convenient for you as possible.

As a member of our Medicaid only plan, Aetna Better Health of Ohio covers Medicaid-covered medications that are listed on our List of Covered Drugs “Drug List” that are marked with an asterisk (*). 

You can call member services to request information on our Drug List and medications or view them in the Formulary. Please note that our Drug List and list of medications can change so it is important for you to check this information when filling/refilling a medication. 

All prescriptions will need to be taken to one of our network pharmacies. You can search for a network pharmacy. You can also call member services to find a pharmacy in your area.

What you need to know about your medications
To help you with a medical issue, your doctor or dentist may prescribe a medication. Be sure to let your doctor know about any other medications you are taking. This includes those from another doctor and medications or herbal supplements that you buy on your own. Some drugs can cause harm if taken together. Telling your doctor what you are taking can help prevent harmful reactions. Before you leave the office, ask these questions:

  • Why am I taking this medication?
  • What is it supposed to do for me?
  • How should the medicine be taken?
  • When?
  • For how many days?
  • What are the possible side effects or allergic reactions of the medicine?
  • What should I do if a side effect happens?
  • What will happen if I don’t take this medication?

Carefully read the drug information the pharmacy gives you when you fill your prescription. It will explain what you should and should not do and possible side effects.

Is your prescription covered?
If you need medicine, your doctor will choose one from Aetna Better Health of Ohio's list of covered drugs. Ask your doctor to make sure the drug is on the list.

Not sure if a certain drug is covered? Check the List of Covered Drugs "Drug List". This is a list of drugs that are covered. To search for a particular drug, click on the binocular icon in the left-hand margin and type the word you are looking for in the search box.

If you need medicine that’s not on the list and you can’t take another kind, your doctor can ask for an exception. Some medicines that don’t need a prescription are also covered when your doctor asks for them.

Prescriptions should be filled at a pharmacy that is part of the Aetna Better Health of Ohio network. See if your pharmacy is in our network. You do not have to pay for medicines on the Aetna Better Health of Ohio list of covered drugs.

If you have other insurance for your Part D benefits, Aetna Better Health of Ohio will only pay if the drug is on the Aetna Better Health of Ohio Medicaid-only drug list. You can also call Member Services to get a printed copy of our drug list. 

View your Aetna Better Health of Ohio formulary and your formulary update.

You can reach Member Services at:

  • 1-855-364-0974 (TTY: 711), 24 hours a day, 7 days a week. The call is free.
  • Click on the "Contact Us" link on the Home Page

The label on your medication bottle tells you how many refills your doctor has ordered for you. If your doctor has ordered refills, you may only get one refill at a time.

If your doctor has not ordered refills, you must call him/her at least five (5) days before your medication runs out. The doctor may want to see you before giving you a refill.