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Aetna prescription drug program

Access more than 68,000 pharmacies throughout the country through the Aetna® prescription drug program. Most major drug store chains are included in our national pharmacy network. Terms apply.*

Need to request prior authorization?

Your provider should be able to submit a request for approval electronically. If not, you may use this form when your provider needs to get approval before your plan covers your medication.

Prescription Medication/Prior Authorization/ Precertification Request for Prescription Medications (PDF)

Easy prescription process with network pharmacies

When you take your prescription to an in-network pharmacy, just show your ID card—no need to file a claim. If you pay for a prescription out-of-pocket, you may be eligible for reimbursement minus any required copay amount.  
 
Did you know? Health care reform now covers some preventive drugs and products at no cost to you. This means your plan pays 100 percent for these items.

 

Preventive drugs and products (PDF)

 

Need to file an out-of-network claim?

 

If you use an out-of-network pharmacy, you pay the full cost of the drug. To get reimbursement, you need to submit a claim form and send us a copy of your receipt. You can mail it to the address or fax it to the number on the form.

 

Aetna Prescription Drug Claim Form – English (PDF)

Aetna Prescription Drug Claim Form – Spanish (PDF)

Save with generic drugs

 

Generic drugs work the same as brand-name ones but cost less. They have the same active ingredients. And they meet the same Federal Drug Administration (FDA) quality standards.  
 
Ask your provider to allow a substitution whenever you get a prescription. If you’re prescribed a brand-name drug, your pharmacist can tell if a generic version exists.

CVS Caremark® Mail Service Pharmacy

Need your regular medicines without trips to the pharmacy? Our CVS Caremark Mail Service Pharmacy brings your prescriptions right to you. Terms apply.*

 

With CVS Caremark Mail Service Pharmacy, you get:

 

  • Medicines delivered quickly and privately to your home, workplace, or anywhere you choose
  • A simple two-step process that makes ordering your regular medicines easy
  • Trained pharmacists who check every order and are ready to help 24 hours a day, every day
  • Possible savings on your medicine costs (depending on your plan), plus free standard shipping

 

How to use CVS Caremark Mail Service Pharmacy

 

Search school specific plan documents

 

Pharmacy documents

Your pharmacy drug guides provide you with information on:

 

  • Specific medication’s drug tier
  • Coverage requirements and limitations
  • How your plan works

 

Plan guide changes

Aetna pharmacy drug guide is effective from July 1, 2025 through June 30, 2026. These documents tell you about any changes to the Aetna Pharmacy drug guide.

 

Legal notices

Student health insurance plans are insured by Aetna Life Insurance Company. Self-funded plans are funded by the school and administered by Aetna Life Insurance Company. Aetna Student HealthSM is the brand name for products and services provided by Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.