Pharmacy

Formulary/Preferred Drug List

The formulary is a list of drugs chosen by Aetna Better Health of West Virginia and a team of doctors and pharmacists. The Preferred Drug List (PDL) is a list of drugs from the Bureau for Medical Services West Virginia Medicaid. Drugs on these lists are generally covered under the plan as long as they are medically necessary. Members must fill their prescriptions at an Aetna Better Health of West Virginia network pharmacy and follow other plan rules.

Please review the formulary and/or PDL for any restrictions or recommendations regarding prescription drugs before prescribing a medication to an Aetna Better Health of West Virginia patient.

You can download the formulary or you can also use the searchable formulary tool to locate covered drugs by Aetna Better Health of West Virginia. You can also look at the WV Bureau for Medical Services Preferred Drug List. Both of these resources contain the most up to date listing of step therapy requirements and quantity limits. You can also view a list of this month's formulary/PDL updates (coming soon).

Check back frequently as the formulary, prior authorization guidelines, and prior authorization forms are updated regularly.