Filling Your Medicare Prescriptions | Allina Health Aetna Medicare

Fill your prescriptions at a network pharmacy

Medicare Prescription Drug Plans (PDP) have a network of pharmacies. You’re required to use a pharmacy in the network to fill your prescriptions.

Find a network pharmacy

Get your prescriptions by mail

If you take medications regularly, home delivery may be a great option for you. Your formulary (drug list) tells you if a medication is available for home delivery.

Learn about home delivery

Save money by using generics

Sometimes you can save money by asking your doctor to prescribe the generic version of a brand-name medicine. Generic versions of brand-name drugs:

Have the same active ingredients in the same amounts
Typically cost less
Are declared by the Food and Drug Administration to be just as safe and effective

When to request a refill

There are time guidelines for refilling your drugs.

At a retail pharmacy:

For a 30-day prescription

- Order a refill when you have a 7-day supply left

For eye-drop medication

- Order a refill when you have a 9-day supply left

Through a mail-order pharmacy:

For a 90-day prescription

- Order a refill when you have a 22-day supply left

For eye-drop medication

- Order a refill when you have a 27-day supply left

If you order too early, the pharmacy won’t give you the refill until the approved date.

You can get prescription drugs shipped directly to your home. Often, mail-order drugs arrive within 7 to 10 days. Call the number on your ID card if you don't get your mail-order drugs within this time. You can also sign-up for automated mail-order delivery.

Medicare only covers prescription drugs sold, filled and used in the U.S. and its territories.

Using Aetna Specialty Pharmacy (ASRx)

Our network specialty pharmacy focuses on medicines that aren’t usually available at retail pharmacies. It offers:

Injection supplies, like needles, syringes, alcohol swabs, adhesive bandages and containers for needle waste at no cost to you
Fast, no-cost delivery
Package tracking
Delivery to your home, doctor’s office or place of choice
Support and education to help you use your medicines and manage your health condition
Flexible payment options
Information on drug maker programs that offer financial help

Using an out-of-network pharmacy

There may be times when you need to use an out-of-network pharmacy:

There’s no network pharmacy close or open 24 hours
You need a prescription drug that nearby network or mail-order pharmacies don’t often stock, like drugs for rare medical conditions
You get a Part D prescription drug from an out-of-network provider pharmacy from:

- An emergency room
- A provider-based clinic
- An ambulatory surgical center
- An outpatient setting

You get a prescription outside of your home or service area due to:

- A state or federal disaster declaration
- Other public health emergency

If one of the above reasons doesn't apply, we won’t reimburse you for your prescription filled out of network.

If one of the above reasons applies, you'll have to pay the full cost when filling the prescription. You may get a smaller amount of your medicine until you can get to a network pharmacy.

For reimbursement, send us a claim form and your receipt. We'll reimburse you for the amount you paid up to a 10-day supply, minus your copay or coinsurance.

Print a prescription drug claim form

Your plan coverage document (Evidence of Coverage) has more details about out-of-network pharmacies.

See your Evidence of Coverage

We're here to help!

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.
Get help from an interpreter

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.

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.

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

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

Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays.

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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Filling Your Prescriptions

Fill your prescriptions at a network pharmacy

Get your prescriptions by mail

Save money by using generics

When to request a refill

Using Aetna Specialty Pharmacy (ASRx)

Using an out-of-network pharmacy

We're here to help!

We speak your language

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