RESOURCE CENTER

Prescription
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Aetna Value Plus Formulary flyer
Effective 7/1/15, for renewing and new business, Aetna is implementing this new clinically-driven formulary program for employer groups 100-3000 employees.
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2014 pharmacy updates for Small Group and Middle Market businesses
On July 2014, Aetna will update the Preferred Drug List (formulary). Aetna reviews their PDL and can move drugs to different tiers, add/remove drugs from their pre-cert or step-therapy listings, all whcih affect how your clients receive services.
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2014 Medicare part D Creditable Coverage Determinations
This is a overview of the testing strategy used by Aetna to determine Rx creditable status. Employers who offer Rx, must advise all employees of Rx creditable status by 10/15. All plans creditable except POS HSA NR 3.7 and POS 7.7 with $10 generic.
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10.24.2012
Important information for NJ 51-100 health plans
Aetna announces that for all groups written or renewing 12/1/12 and forward, "dispense as written" rules will be imposed. Member will pay brand copay and difference in cost, if generic is available and brand is dispensed.
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10.10.2012
Aetna formulary list changes effective January 2013
Listing of changes to the Aetna formulary drug list which went into effect January 1st, 2013
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10.02.2012
Aetna 2013 Medicare Part D - Creditable Coverage Determinations
This is a list showing all Rx plans offered by Aetna, and advises which plans meet CMS testing for creditable or non-creditable stats. Employers who offer Rx, must advise all employees of Rx creditable status by 10/15.
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08.02.2012
Women’s Contraceptive Drugs and Device List - 2012
Attached is a listing of the contraceptive drugs and devices that will be covered at no copay for members who have this benefit with effective dates or renewal dates of 8/1/12 and forward.
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07.02.2012
Specialty Injectible Rx list for 2012
Listing of specialty injectible Rx which fall under the 4th tier for Aetna's Rx card under their plans for 2-99 market. Be advised, upon renewal or for new business as of 8/1/12, the Specialty Rx is now a flat $250 and no longer 10% coinsurance.
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07.02.2012
Specialty CareRx drug changes for 2-99 size groups
Effective 8/1/12, for new business or upon renewal, Aetna will be changing their Specialty Rx component from the current 10% coinsurance level to a flat $250 copay for a 30 day supply.
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10.03.2011
2012 Medicare part D Creditable Coverage Determinations
This is a list showing all Rx plans offered by Aetna, and advises which plans meet CMS testing for creditable or non-creditable stats. Employers who offer Rx, must advise all employees of Rx creditable status by 10/15.
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