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Drug List search tool and updates

We make it easy to manage your medicine. For your peace of mind, it helps to know that a drug you take is covered. Our List of Covered Drugs (Formulary) shows the drugs we cover, any limits or requirements and mail order availability. Stay up-to-date with our Drug List. 

Our Drug List search tool 

 

There are many different things you can do with our Drug List search tool. You can: 

 

  • Search for your medicine by name or class 

  • Find generic alternatives to a medicine  

  • See if a medicine has quantity limits or requires prior authorization  

Some drugs have rules you need to follow before we cover them. These include:

 

  • Prior authorization: You or your doctor needs approval from us before we’ll cover the drug.
  • Quantity limits: For certain drugs, we limit the amount you can get.
  • Step therapy: We require you to try another drug first before we’ll cover your drug.
  • 2025 List of Covered Drugs (Formulary)   English (PDF)

     

    2025 List of Covered Drugs (Formulary)   Español (PDF)

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    Requirements or limits on Part B drugs

    Under Aetna Assure Premier Plus (HMO D-SNP), some drugs may have special requirements or coverage limits. We’ll help you find the information you need.

     

     

    How step therapy works

    Some medically administered Part B drugs, like injectables or biologics, may have additional requirements or coverage limits. That may include step therapy, where we require a trial of a preferred drug to treat a medical condition before covering another non-preferred drug. 

     

    Here’s an example:

    If Drug A and Drug B both treat a medical condition, we may prefer Drug A and require a trial of it first. If Drug A does not work, we’ll then cover Drug B. The listed preferred products should be used first.

     

    Note: The step therapy requirement does not apply to patients who’ve already received treatment with the non-preferred drug within the past 365 days.

     

     

    Find preferred drugs

    We’ve compiled the Aetna Assure Premier Plus (HMO D-SNP) Medicare Part B Preferred Drug List below for your convenience. Please click below:

     

    2025 Medicare Part B Step Therapy Preferred Drug List (PDF)

The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary.    

Do you have a question?

You can call Member Services anytime at 
1-844-362-0934 (TTY: 711).

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