Prescription Drugs

As an Aetna Medicare Dual Core plan member, your plan includes coverage for Part D prescription drugs. Aetna Medicare Dual Core has a formulary also called a list of drugs. Aetna Medicare Dual Core consulted with team of health care providers to develop the formulary. It includes prescription therapies believed to be a necessary part of a quality treatment program. Some covered drugs may have restrictions or limitations. Aetna Medicare Dual Core generally covers the drugs listed in our formulary as follows:

  • The drug is medically necessary,
  • The prescription is filled at an Aetna Medicare Dual Core network pharmacy
  • Other plan rules are followed

This section provides information about the prescription drug benefits covered by Aetna Medicare Dual Core. 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 formulary. A “formulary” is a list of drugs we cover and any costs you may have to pay.

Your Aetna Medicare Dual Core formulary is below. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. If you have any questions about a drug that is not listed, please call Member Services at 1-800-371-8614 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week.