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Aetna Pharmacy Update Effective July 2014

Jun 03, 2014

As of July 1, 2014, changes will impact Aetna members’ prescription drug coverage.

On July 1, Aetna Pharmacy Management (APM) will update the Preferred Drug (formulary) List for new and renewing business. At that time, drug coverage reviews like precertification and step therapy will also begin to apply to some drugs. Aetna will send plan sponsors a letter including a list of the drugs affected by these changes. For a complete list of formulary changes, please visit www.aetna.com/formulary.

Changes are based on the latest medical findings as well as information from the U.S. Food and Drug Administration (FDA) and drug makers. The goal is always to help connect members to cost-effective care. The upcoming changes impact members in Commercial fully-insured plans only.

Notifying Aetna members 

Aetna will notify impacted members of the upcoming changes either by e-mail or mail. Members receive an e-mail if they’ve registered their e-mail address through Aetna's Navigator® secure member website. Otherwise, members receive a letter.

Why some drugs are preferred 

Aetna calls drugs preferred because members will typically pay less out-of-pocket when they use one of these drugs. Members can always use Aetna’s online Price-A-Drug℠ tool to estimate what they can expect to pay for their medicine. To use this tool, members can log in to www.aetnanavigator.com, click “Aetna Pharmacy” from the top of the page, and then click, “Get Drug Prices.”

Groups will be instructed to contact their Aetna account manager with additional questions.

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