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Check Our Medicare Drug List

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

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

 

Other drug references

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. 

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: Rural Missouri, Urban Alabama, and Urban Tennessee. 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.

       Y0123_4006_14184_M Accepted 9/2018

       Page last updated: Oct 01, 2018

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