Check Our Medicare Drug List

See if your prescription drug is covered

Our prescription drug list (formulary) shows:

The drugs we cover
The tier a drug is on
Any limits or requirements before we cover the drug
Mail order availability

Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers.

Check drug coverage & costs

Members - Log in to find your drugs

Guests - Select a plan & find your drugs

View drug-related documents for your plan

Allina Health | Aetna Medicare Discover Plus (PPO) H3219-001: List of Covered Drugs (Formulary)

Prior Authorization Information

Step Therapy Information

Drug List Changes
Allina Health | Aetna Medicare Discover Premier (PPO) H3219-002: List of Covered Drugs (Formulary)

Prior Authorization Information

Step Therapy Information

Drug List Changes
Allina Health | Aetna Medicare Discover Grand (PPO) H3219-003: List of Covered Drugs (Formulary)

Prior Authorization Information

Step Therapy Information

Drug List Changes
Allina Health | Aetna Medicare Discover Elite (PPO) H3219-004: List of Covered Drugs (Formulary)

Prior Authorization Information

Step Therapy Information

Drug List Changes

Other drug references

Changes to the drug list (formulary)

We review our drug list on a monthly basis and make changes as necessary. Most changes are positive. An example would be adding new generics that have come on the market.

Sometimes we have to make a negative change to our formulary. Like if the FDA views a drug as unsafe or the drug maker removes the drug from the market.

Prior authorization, quantity limits & step therapy

Some drugs have rules you need to follow before we cover them. These include:

Prior authorization
You or your doctor need approval from us before we cover the drug.
Step therapy
We require you to try another drug first before we cover your drug.
Quantity limits
For certain drugs, we limit the amount you can get.

You and your doctor can ask us to make an exception to one of our coverage rules. This includes requesting an exception to a prior authorization, step therapy or quantity limit rule.

Transition rules

There may be times where you’re taking a drug that either isn’t on our drug list or has special rules before we cover it. Learn about our transition process to see if you’re eligible for a short-term supply of medication. This temporary supply allows you to work with your doctor to either transition to a new drug or request an exception to continue your current drug.

Details about our 2019 transition process

Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Allina Health | Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.

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Members:
Email us or call Member Services at the number on your ID card.

Don’t have your ID card handy?
Find a phone number

Not yet a Member?
Call an Allina Health | Aetna representative at 1-833-786-4672 (TTY: 711), Monday through Friday, 8 a.m. to 8 p.m.

We speak your language: We have free interpreter services to answer questions you may have about our health or drug plan.
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Disclaimers

Allina Health | Aetna Medicare is a PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Allina Health | Aetna Medicare’s pharmacy network includes limited lower cost preferred pharmacies in: Urban Mississippi, Urban Virginia, Rural Wisconsin, Rural Missouri, Rural Arkansas, Rural Oklahoma, Rural Kansas, Rural Iowa, Rural Minnesota, Rural Montana, Rural Nebraska, Rural North Dakota, Rural South Dakota, Rural Wyoming. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-833-620-8809 (TTY: 711) or consult the online pharmacy directory at https://www.allinahealthaetnamedicare.com/pharmacyhelp.

This information is not a complete description of benefits. Call 1-866-471-9374 (TTY: 711) for more information.

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Prescription Drugs

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Members

See if your prescription drug is covered

Check drug coverage & costs

View drug-related documents for your plan

Allina Health | Aetna Medicare Discover Plus (PPO) H3219-001

Allina Health | Aetna Medicare Discover Premier (PPO) H3219-002

Allina Health | Aetna Medicare Discover Grand (PPO) H3219-003

Allina Health | Aetna Medicare Discover Elite (PPO) H3219-004

Other drug references

Changes to the drug list (formulary)

Prior authorization, quantity limits & step therapy

Transition rules

We're here to help!

We speak your language

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