Prescription drugs

Aetna Better Health of Ohio members who are enrolled with us for both Medicare and Medicaid get prescription drugs that are covered by Medicare as well as drugs that are covered by Medicaid.

As a Medicare beneficiary, you have the right to certain prescription drug benefits. Medicare prescription drug benefits are also known as Part D.

This section provides information about the prescription drug benefits covered by Aetna Better Health of Ohio, including specialty drugs. This section also provides information about coverage limitations that may apply to some covered drugs.  You can also learn about our Medication Therapy Management Program.

Prescription drugs are often an important part of managing a health issue. For your peace of mind, it helps to know that a drug you take is paid for. You can find out by reading our List of Covered Drugs. This is sometimes called a “formulary.” It is a list of drugs we cover and any costs you may have to pay.

If you need a drug that is not on the List of Covered Drugs (formulary), your prescriber must provide a statement that says you have tried the formulary medications and they did not work for you, or a medical reason why you cannot try the formulary medications.

Your Aetna Better Health of Ohio List of Covered Drugs is below. If you have any questions about a drug that is not listed, please call Member Services at 1-855-364-0974 (TTY: 711), 24 hours a day, seven days a week. The call if free.