Prescriptions
Prescription Drugs
Prescription drug coverage is included in your medical plan and is provided by Aetna. Aetna has a 4-tier prescription drug program that divides covered medications into tiers or coverage/cost levels. Typically, the higher the tier, the greater the cost of the medication.
| YOUR PRESCRIPTION MEDICATION COSTS | ||
|---|---|---|
| RETAIL | HOME DELIVERY / 90-DAY RETAIL | |
| Tier 1 — Generics | 25% min $5 / max $50 | 25% min $10 / max $100 |
| Tier 2 — Preferred Brands | 30% min $25 / max $150 | 30% min $50 / max $300 |
| Tier 3 — Non-preferred Brands | 35% min $50 / max $250 | 35% min $100 / max $500 |
| Tier 4 — Specialty Medications | 30% min $75 / max $350 | – |
Know What’s Covered and Estimate Your Cost
Medications can be reclassified in different tiers, so whether you have a new prescription or one you take regularly, it’s wise to determine if your medication is covered and at what tier. You can also estimate your costs in advance if you’re purchasing at an in-network pharmacy or through Aetna’s CVS Caremark® Mail Service Pharmacy. Download the Prescription Value Plan and Preventive Generic List below.
Click below to find a National Retail pharmacy chain included in the Harris County network
To estimate the cost of your medication:
Visit aetna.com or use the Aetna mobile app.
Questions?
Talk with a Aetna representative at 800-228-6481.