See if your prescription drug is covered
Our prescription drug list (formulary) shows:
- The drugs we cover
- The tier a drug is on
- Any limits or requirements before we cover the drug
- Mail order availability through Aetna Rx Home Delivery®
For 2019
For 2019
Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers.
Check 2019 drug coverage & costs
View drug-related documents for your plan
The following counties are in the Innovation Health Medicare service area: Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City, Fredericksburg City, Loudoun, Manassas City, Manassas Park City, Prince William, Spotsylvania, Stafford
Innovation Health Medicare Voyager Plan (PPO) - H1100-001
List of covered drugs (Formulary)
List of covered drugs (Formulary) - Spanish
Innovation Health Medicare Connection Plan (HMO) - H2829-001
List of covered drugs (Formulary)
List of covered drugs (Formulary) - Spanish
For 2018
For 2018
Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers.
Check 2018 drug coverage & costs
View drug-related documents for your plan
The following counties are in the Innovation Health Medicare service area: Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City, Fredericksburg City, Loudoun, Manassas City, Manassas Park City, Prince William, Spotsylvania, Stafford
Innovation Health Medicare Voyager Plan (PPO) - H1100-001
List of covered drugs (Formulary)
List of covered drugs (Formulary) - Spanish
Innovation Health Medicare Connection Plan (HMO) - H2829-001
List of covered drugs (Formulary)
List of covered drugs (Formulary) - Spanish
Other drug references
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Changes to the drug list (formulary)
Prior authorization, quantity limits & step therapy
Transition rules
Participating physicians, hospitals and other health care providers are independent contractors. They're neither agents nor employees of Innovation Health. The availability of any particular provider can't be guaranteed. Provider network make-up is subject to change.
We're here to help!
Members:
Email us or call Member Services at the number on your ID card.
Don’t have your ID card handy?
Find a phone number
Not yet a Member?
Email us or call an Innovation Health representative at 1-800-572-7124 (TTY: 711), 7 days a week, 8 a.m. to 8 p.m.
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We speak your language
Disclaimers
Innovation Health is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal.
See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.
Innovation Health Medicare’s pharmacy network includes limited lower cost, preferred pharmacies in: Urban Mississippi, Urban Alabama, Urban Tennessee, Rural Missouri, Rural Arkansas, Rural Oklahoma, Rural Kansas, Rural Iowa, Rural Minnesota, Rural Montana, Rural Nebraska, Rural North Dakota, Rural South Dakota, Rural Wyoming. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.
For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-866-471-9374 (TTY: 711) or consult the online pharmacy directory at http://www.innovationhealthmedicare.com/pharmacyhelp.
This information is not a complete description of benefits. Call 1-800-572-7124 (TTY: 711) for more information.