Skip to main content

Prescriptions

Preparing for your pharmacy plan

Your Pharmacy plan is called the Aetna Advanced Control Formulary Plus. In the section below, you can view your plan’s formulary (list of drugs) to see if your drugs are covered.

Some drugs may have certain requirements

To maintain quality and safety and to keep costs in check, some drugs may require:

* Precertification: This means that we have to approve some drugs before we cover them. If this is required, your doctor must contact us to request approval of coverage.

* Step therapy: This means that you must try one or more alternative drugs before we cover a step-therapy drug.

Plan ahead before your plan begins

Your plan materials have details about your benefits and coverage. And about what you'll pay for your medicine. If you have a deductible, you can see that too. Don’t see these details? You can call Pharmacy Member Services toll free at 1-888-RX AETNA (1-888-792-3862).

The Aetna prescription drug program 

Your Student Health Insurance Plan offers a prescription drug program through Aetna to make it convenient for you to fill your prescriptions. With the Aetna Prescription Drug Program, you have access to more than 60,000 participating (preferred) pharmacies throughout the country, in all 50 states, the District of Columbia and Puerto Rico. Most major chain drug stores are included in our national pharmacy network. It’s likely that your local pharmacy participates in our network.

Find a pharmacy

Filling your prescriptions and refills is easy

When you take your prescription to an Aetna participating (preferred) pharmacy, there is no claim to file when you present your identification card. If you do pay for a prescription, you may be eligible for a reimbursement, less any applicable copay amount. Please check your Plan Design and Benefits Summary. Please review your plan documents for information on your specific Plan of benefits, including covered and excluded drugs, applicable copays, a list of participating (preferred) pharmacies and claim forms.

Save with generic drugs

Your prescription may be filled with a generic drug. A generic drug contains the same active ingredients in the same amount as the corresponding brand-name drug. The Food and Drug Administration (FDA) requires that generic drugs meet the same strict manufacturing standards for strength, purity and quality as brand-name drugs. Ask your doctor to allow a substitution, if appropriate, whenever you get a prescription. If your doctor has prescribed a brand-name drug, ask your pharmacist whether there is a generic equivalent.

CVS Caremark® Mail Service

Save time and money by ordering your prescriptions through Aetna's mail-order prescription drug service, CVS Caremark Mail Service .

CVS Caremark Mail Service offers you:

  • Convenience -- Quick, confidential shipping of your maintenance medications right to your home, your place of work or any other location you choose.
  • Ease of use -- Our simple, two-step process makes ordering your maintenance medications easy.
  • Quality of service -- Registered pharmacists check orders for accuracy and are available 24 hours a day, 7 days a week in case of emergency.
  • Cost savings -- Depending on your Aetna pharmacy benefits and insurance plan, you could save money by using CVS Caremark Mail Service , and standard shipping is always free.

CVS Caremark Mail Service Order Form - English
CVS Caremark Mail Service Order Form - Spanish

Out of network claims

For maximum reimbursement, you must use an Aetna participating (preferred) pharmacy. If you take your prescription to a non-participating (non-preferred) pharmacy, you pay the full cost of the drug (except when otherwise specified by your Plan).

To receive reimbursement, you will need to submit a claim form and the prescription receipt to Aetna.

Mail your completed claim form and receipts to:
Aetna Pharmacy Management
ATTN: Claim Processing
P.O. Box 14024
Lexington, KY 40512-4024

Aetna Prescription Drug Claim Form

This material is for information only. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. CVS Caremark® Mail Service Pharmacy and Aetna are part of the CVS Health family of companies, which is a licensed pharmacy providing prescription services by mail. Information is believed to be accurate as of the production date; however, it is subject to change.

Accessibility Services: If you are a person with a disability who needs assistance using our websites, our Customer Service Representatives can assist you. Please call them at the number on your member ID Card or at 877-480-4161 from 8:30 a.m.-5:30 p.m, Mon-Fri. Persons with a hearing or speech disability can use 711 for Telecommunications Relay Service (TRS).

If you need a PDF document in an accessible format, you can request it directly through"Contact Us" here or at the top of the page.

151 Farmington Avenue, Hartford, CT 06156. Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. Massachusetts license number: 10041444. California license number: OB84599.

Student health insurance plans are underwritten by Aetna Life Insurance Company (Aetna). In MD and NJ, student medical insurance is underwritten by Aetna Health and Life Insurance Company (AHLIC).Self-insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company. Aetna Student HealthSM is the brand name for products and services provided by Aetna Life Insurance Company, Aetna Health and Life Insurance Company and their affiliated companies.