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Your pharmacy benefits
At Aetna Better Health® of Maryland, we cover a wide range of prescription and over-the-counter (OTC) medications to keep you healthier.
Medications my plan covers
Medications my plan covers
Prescription medications
We cover the prescription medications listed on our formulary (drug list). Effective May 1, 2024, a change to your pharmacy benefits will include a copay for prescriptions as directed by Maryland Medicaid. For more information please visit our news & updates section. Or check it out online. If your medication isn’t listed, ask your provider:
- To prescribe a similar one that is on the formulary
- To get prior authorization (PA) for coverage
Need PA? Just ask your provider to fill out a pharmacy PA form. Or they can call 1-866-827-2710 (TTY: 711).
You can get coverage for OTC medications on the formulary (drug list) when you:
- Meet any added requirements (for some medications)
- Get a prescription from your doctor
- Fill your OTC prescription at a pharmacy in our network
You can also check with Member Services at 1-866-827-2710 (TTY: 711). When you call, have a list of your OTC medications ready. Ask them to see if your medications are on the list.
Get medications and refills
Get medications and refills
If you need medication, your provider will write you a prescription for one on our formulary (drug list). You'll want to:
- Ask your provider to make sure the medication is on our formulary
- Take your prescription to a pharmacy in our network
- Show your plan member ID card at the pharmacy
Need refills? Your medication label notes how many refills you have. A few days before you run out of medication, call your pharmacy to place a refill order. If the prescription doesn’t have any refills left and you need more medication, check with your provider. They may want to see you before prescribing refills.
Fill your prescriptions
By mail
If you take maintenance medications for an ongoing health condition, you can get them by mail. We work with CVS Caremark® to give you this service at no extra cost. You can expect them to check each order for safety. And you can speak with a pharmacist anytime on the phone.
You’ll just need your:
- Plan member ID card
- Mailing address, including ZIP code
- Doctor’s first and last name and phone number
- List of allergies and other health conditions
- Original prescription from your doctor (if you have it)
Get started with mail service
Just call CVS Caremark at 1-855-271-6603 (TTY: 711). You can call 24 hours a day, 7 days a week. They’ll let you know which medications they can fill with the CVS Caremark Mail Service Pharmacy. They’ll also contact your doctor for a prescription and mail your medication to you.
Already have a prescription?
You can sign up for mail service:
Online
Log in to the secure Member Portal. Then:
- In “Tasks” choose “pharmacy services”
- Choose the “CVS” link to go to the CVS Caremark website
- Choose “start mail service”
With an order form
If you already have a prescription, you can fill out a mail service order form (English) or a mail service order form (Spanish) and send it to:
CVS Caremark
PO Box 2110
Pittsburgh, PA 15230-2110
Or we can mail you a form. Just call Member Services at 1-866-827-2710 (TTY: 711).
Specialty medications
Specialty medications
CVS Specialty® pharmacy provides many services, such as:
- Delivery of specialty medications to your home or doctor's office
- Counseling on your medications and conditions
- Coordination of care with you and your doctor
- The option to drop off your prescription and pick up your medication at any CVS Pharmacy® location
- The ability to talk to a pharmacist 24 hours a day, 7 days a week
Have questions or need help with these services? Just call CVS Specialty pharmacy at 1-800-237-2767 (TTY/TDD: 1-800-863-5488).