However, if your prescriber designates the prescription as “Dispense As Written” (or DAW) the pharmacist is not allowed to substitute a generic and must fill the more expensive brand name drug. In most states, when your doctor writes a prescription for a brand-name drug, your pharmacy can substitute the generic drug.If you are taking or are prescribed a medication with a cost of over $1,000 for a 30-day fill, there will be a Clinical Review prior to processing your fill request, which will require supplemental information from your prescriber. Legal Plan with Identity Theft ProtectionġYour responsibility after deductible, except for preventive prescription drugs on the Health Fund (HSA) or Traditional (PPO) plans.ĢCombined max of 40 visits/calendar year includes in-network chiropractic and acupuncture services.ģCombined max of 20 visits/calendar year includes in-network plus out-of-network chiropractic services.ĤDepending on the type of services, a copayment, coinsurance or deductible may apply.ĥSpecialty drugs under RxBenefits/Express Scripts must be obtained through Accredo for all Aetna plans.įor members covered under one of the three Aetna medical plans, there are a few provisions included in your Rx Benefits/Express Scripts prescription drug coverage plan to keep in mind:.
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