Welcome to EPISD Benefits

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Aetna is the Prescription Benefit Manager (PBM) chosen to provide cost-effective prescription benefit services to you.

You have access to a national network of participating pharmacies. This pharmacy network is designed to provide you convenient access to chain and independent pharmacies in your area at competitive costs to you and your benefit plan.
Aetna’s goal is to provide the highest quality pharmaceutical care, at lower costs. The most effective way to control costs are through the use of generic drugs and a Aetna Preferred Drug List (3-Tier Formulary). Ask your physician to authorize a generic substitution whenever possible. When a generic is not available, there may be more than one brand name drug that may be appropriate for you. That is why this 3-Tier Formulary was developed. Aetna’s Customer Service Representatives can help answer questions you or your pharmacist may have.

2010 PLAN YEAR

Prescription Co-pay:

Aetna In Network Retail Pharmacy – 30 Day Supply
Three Tier Drug Formulary Co-pays
Classic 500	Standard 1000	CDHP 3000 (Co-Pay Applies to Preventive Medication List Only)
Tier 1 = $5.00 generic medications	Tier 1 = $10.00 generic medications	Tier 1 = $10.00 generic medications
Tier 2 = $30.00 preferred brand-name medications	Tier 2 = $40.00 preferred brand-name medications	Tier 2 = $40.00 preferred brand-name medications
Tier 3 = $60.00 non-preferred brand-name medications	Tier 3 = $65.00 non-preferred brand-name medications	Tier 3 = $65.00 non-preferred brand-name medications
$100 Annual Deductible applies to preferred and non-preferred brand name	$100 Annual Deductible applies to preferred and non-preferred brand name

Your prescription benefit provides lower cost through Mail Order.

Aetna Rx Home Delivery is a Mail Order service that provides a convenient delivery option for medications that treat chronic conditions like high blood pressure and diabetes. Through Aetna’s Rx Home Delivery, you can typically request up to a three-month supply at lower out of pocket costs than if you had these prescriptions filled at a retail pharmacy.

Mail Order Prescription Co-pay:

Aetna Rx Home Delivery Pharmacy – 90 Day Supply
Three Tier Drug Formulary Co-pays
Classic 500	Standard 1000	CDHP 3000 (Co-Pay Applies to Preventive Medication List Only)
Tier 1 = $10.00 generic medications	Tier 1 = $20.00 generic medications	Tier 1 = $20.00 generic medications
Tier 2 = $60.00 preferred brand-name medications	Tier 2 = $80.00 preferred brand-name medications	Tier 2 = $80.00 preferred brand-name medications
Tier 3 = $120.00 non-preferred brand-name medications	Tier 3 = $130.00 non-preferred brand-name medications	Tier 3 = $130.00 non-preferred brand-name medications
$100 Annual Deductible applies to preferred and non-preferred brand name	$100 Annual Deductible applies to preferred and non-preferred brand name	Tier 3 = $130.00 non-preferred brand-name medications

For more information on these programs or questions regarding your Pharmacy Benefit Manager, please click here to visit Aetna’s link to Drugs and Prescriptions