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Find A Medication - 2020 Standard Plan

2020 Drug Coverage

Aetna Standard Plan

  • Brand and generic drugs chosen for their quality and effectiveness
  • Specialty drugs and services through a network specialty pharmacy
    • With personal support and programs that help improve your health
  • Maintenance drugs sent to your door through home delivery
    • For chronic conditions like arthritis, diabetes or asthma that require regular treatment

We list only the most common drugs covered under your plan. To check coverage and copay information for a specific medicine log in to your secure member website after your effective date.

Aetna Standard Plan drug guide (PDF)

Aetna Standard Plan - Preferred specialty drugs and formulary excluded specialty drugs (PDF)

Aetna Standard Plan - Excluded drugs, with covered alternatives (PDF)

The drugs on this list are not covered under your plan. There are similar products with the same active ingredients that are covered.   The list shows you the non-covered drugs and the similar covered ones.

Change year or plan type

About your drug list

What is a formulary?

A formulary is a list of drugs covered under your plan, with details about the type of coverage. You may hear the word "formulary" during a doctor’s visit or when you pick up a prescription.

Does the main list include every covered drug?

Your pharmacy benefits plan includes thousands of drugs – too many to list. So your main drug list contains only the most commonly prescribed drugs.

For current members, to check coverage and copay information for a specific medicine log in to your secure member website.

This material is for information only. Aetna Specialty Pharmacy refers to Aetna Specialty Pharmacy, LLC, a subsidiary of Aetna Inc., which is a licensed pharmacy that operates through specialty pharmacy prescription fulfillment. The drugs on the Preferred Drug List Formulary Exclusions, Precertification, and Quantity Limit Lists are subject to change. The precertification and quantity limits drug coverage review programs are not available in all service areas. For example, precertification programs do not apply to fully insured members in Indiana. However, these programs are available to self-insured plans.

Information is believed to be accurate as of the production date; however, it is subject to change.

Language services can be provided by calling the number on your member ID card. For additional language assistance: Español | 中文 | Tiếng Việt | 한국어 | Tagalog | Pусский | العربية | Kreyòl | Français | Polski | Português | Italiano | Deutsch | 日本語 | فارسی | Other Languages…

Health benefits and health insurance plans are offered and/or underwritten by Texas Health + Aetna Health Plan Inc. and Texas Health + Aetna Health Insurance Company (Texas Health Aetna). Each insurer has sole financial responsibility for its own products. Texas Health Aetna are affiliates of Texas Health Resources and of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Texas Health Aetna.

Self-funded plans are administered by Texas Health + Aetna Health Insurance Company.

This material is for information only and is not an offer or invitation to contract. An application must be completed to obtain coverage. Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and not our agents. Provider participation may change without notice. We do not provide care or guarantee access to health services. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability are subject to change and may vary by location. If you are in a plan that requires the selection of a primary care physician and your primary care physician is part of an integrated delivery system or physician group, your primary care physician will generally refer you to specialists and hospitals that are part of the delivery system or physician group. Information is believed to be accurate as of the production date; however, it is subject to change.

Aetna, CVS Pharmacy® and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies. For a complete list of other participating pharmacies, log in to texashealthaetna.com

Physicians on the medical staff practice independently and are not agents or employees of the hospital or Texas Health Resources.

©2023 Texas Health + Aetna Health Plan Inc. & Texas Health + Aetna Health Insurance Company