Prescriptions
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.
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.
Under health care reform, you can get some preventive drugs and products with no member cost share. This means they are covered 100% by your plan. This list shows some common examples.
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 or FAX the Prescription Drug Claim Form to:
Aetna Pharmacy Management
PO BOX 52444
Phoenix, AZ 85072-2444
Fax Number: 1-888-472-1128
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.
Aetna Pharmacy Documents
2023 Aetna Pharmacy Drug Guide: Advanced Control Plan - Aetna (PDF)
Aetna Pharmacy Drug Guide is effective from July 1, 2023 - June 30, 2024.
Plan guide changes
