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Your pharmacy benefits
At Aetna Better Health® of Illinois, we cover a wide variety of prescription and over-the-counter medications to keep you healthy. We’ll even mail your medicine to you, so you can save time and effort.
What medications are covered under my plan?
What medications are covered under my plan?
We cover the medications listed on our preferred drug list (PDL) at no extra cost to you. You can download our PDL. Or check it out online. If your medicine isn’t listed, then you can:
- Ask your provider to recommend a similar medication that is on the list
- Fill out an Aetna Better Health of Illinois prior authorization form so you can apply to get coverage for the medicine — you can ask your provider for the form or call the Pharmacy Prior Authorization department at 1-866-329-4701 (TTY: 711)
Did you pay for the cost of a prescription medication out of pocket? If yes, we can pay you back. Just fill out a prescription reimbursement form (PDF). Reimbursement is not guaranteed, and claims will be subject to limitations, exclusions and provisions of the plan.
Where can I fill my prescriptions?
We keep health care close to home. You can fill your prescriptions at any pharmacy in our network.
Learn about over-the-counter (OTC) benefits
Get everyday health care products at no cost. As part of your Aetna Better Health® of Illinois plan, your household has a $25 monthly allowance to spend on many over-the-counter (OTC) health care products.
Get your prescriptions mailed to you
If you take a maintenance medicine for an ongoing health condition, you can have it mailed to your home. We work with CVS Caremark® to give you this service at no extra cost. You can expect each order to be checked for safety. And you can speak with a pharmacist anytime on the phone.
You’ll just need the following information:
Plan member ID card
Mailing address, including ZIP code
Doctor’s first and last name and phone number
A list of your allergies and other health conditions
Your original prescription from your doctor (if you have it)
How to get started
Call the CVS Caremark toll-free number at 1-855-271-6603 (TTY: 711), 24 hours a day, 7 days a week. They’ll let you know which of your medicines can be filled through the CVS Caremark Mail Service Pharmacy. They’ll also contact your doctor for a prescription and mail the medicine to you.
Already have a prescription?
You can sign up for our mail service:
Online
Log in to the secure Member Portal. Go to “Tasks” and then “pharmacy services.” Select the “CVS” link to go to the CVS Caremark website. Then, choose “start mail service.”
Fill out an order form
If you already have a prescription, you can fill out a mail service order form (English) or a mail service order form (Spanish) and send it to:
CVS Caremark
PO Box 2110
Pittsburgh, PA 15230-2110
Or you can request to have a form mailed to you by calling Member Services at 1-866-329-4701 (TTY: 711).
Medication recalls
Need information about medication recalls? Just call the U.S. Food and Drug Administration (FDA) at 1-888-463-6332. Or visit the drug recalls page on the FDA website.
Specialty medications
Do you or a loved one need specialty medications? Specialty medications are for chronic issues. They can be injected or taken orally. Our preferred specialty pharmacies provide many helpful services, including:
Free, secure delivery within 48 hours of confirming your order
Delivery to your home, doctor’s office or somewhere else
Package tracking
Training on how to self-inject your medicine
Free injection supplies, such as needles, syringes, alcohol swabs, adhesive bandages and containers for used needles
Getting started with specialty pharmacies
Your doctor can fill a new prescription for you by contacting one of our preferred specialty pharmacies below. You or your doctor can transfer your prescription by contacting a specialty pharmacy in our network.
- OptumRx Pharmacy — phone: 1-855-427-4682; fax: 1-877-342-4596
- CVS Specialty® pharmacy — phone: 1-800-237-2767; fax: 1-800-323-2445
- Orsini Specialty Pharmacy — phone: 847-734-7373; fax: 847-734-1822
- AcariaHealth — phone: 1-800-511-5144; fax: 1-877-541-1503
- Specialty Therapeutic Care — phone: 1-866-506-2626; fax: 1-800-696-0607
- Foundation Care Pharmacy — phone: 1-877-291-1122; fax: 1-877-291-1155