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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
  • Drug requirements or limits
  • Mail order availability through Aetna Rx Home Delivery®

Generally, the lower the tier, the less you pay. Your Evidence of Coverage (EOC) tells you the drug costs for tiers.

Check 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.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. 

Innovation Health Medicare’s pharmacy network offers limited access to pharmacies with preferred cost sharing in: rural Missouri. 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 pharmacies with preferred cost sharing, 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. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year.

       Y0123_4006_10831 Approved 12/7/2017

       Page last updated: May 25, 2018

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