Page 12 - Work Life and Benefits Booklet 2018 - SW

The Aetna medical plans include prescription drug coverage for you and your covered dependents.

Retail Pharmacy
Present your medical plan ID card at a participating pharmacy. You will
receive up to a 30-day supply for your prescription. You will pay a SAVE MONEY ON YOUR MEDICATIONS!
copay based on the type of prescription you receive.
Ask for Generic Drugs
Mail Order – Maintenance Medication You can save money by asking for generic drugs. The FDA
requires that generic drugs have the same high quality,
If you take maintenance medications for conditions such as high blood strength, purity, and stability as brand-name drugs. The next
pressure, asthma or diabetes, Aetna’s mail order program can save time you need a prescription, ask your doctor to prescribe a
you time and money. generic drug when it is available and appropriate.

When using the mail order service, you will receive a 3-month (90-day)
supply for the cost of 2 months. So you pay for two and get one free! Use Mail Order
For additional information, call Aetna’s Customer Service (877) 204- If you require regular medication for a long-term or chronic
9186 for OAMC/PPO or go online to www.aetna.com. condition, such as arthritis, or diabetes, you can save money
by using your plan’s mail order service.

AETNA
PLAN NAME OAMC/PPO

OPEN ACCESS MANAGED NON-NETWORK
CHOICE NETWORK

Retail Copay (30-day supply)
Generic $10 Copay 50%, $250 max
Preferred Brand $30 Copay 50%, $250 max
Non-Formulary $50 Copay 50%, $250 max

Mail Order Copay (90-day supply)
Generic $20 Copay Not Covered
Preferred Brand $60 Copay Not Covered
Non-Formulary $100 Copay Not Covered