Filling Your Medicare Prescriptions | Allina Health Aetna Medicare

Fill your prescriptions at a network pharmacy

You’re required to use a pharmacy in the network to fill your prescriptions. Use our online search tool to find network pharmacies for your plan.

Find a 2020 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

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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!

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