Aetna medicare silverscript formulary 2023

2024 Request for Medicare Prescription Drug Coverage Determination . Page 1 of 2 (You must complete both pages.) Fax completed form to: 1-800-408-2386 . For urgent requests, please call: 1-800-414-2386. Patient information Patient name . Patient insurance ID number . Patient address, city, state, ZIP . Patient home telephone number . Gender ...

Aetna medicare silverscript formulary 2023. The major differences between Medicare Part A and Medicare Part B are the covered services each part of the program provides. Medicare Part A is hospital insurance; Part B is medic...

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It all could have been avoided with opaque envelopes. It all could have been avoided with opaque envelopes. On Aug. 24, STAT broke the news that Aetna, an insurance company in the ...ⓘ SilverScript® Plus (PDP) and some of our MAPD plans include coverage for some excluded drugs not normally covered by Medicare Part D. This includes a variety of prescription vitamins and generic erectile dysfunction drugs. For a more complete list of drugs not covered by Medicare, please visit our Prescription drug formulary FAQ page.SilverScript SmartSaver (PDP) S5601 - 194 - 0. (3 / 5) SilverScript SmartSaver (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $9.90. Enroll Now. This page features plan details for 2024 SilverScript SmartSaver (PDP) S5601 – 194 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.Apr 26, 2024 · Available online provider directories (PDF): CALIFORNIA 州 ALAMEDA 縣 Aetna Medicare Select Plan (HMO)_H0523-068. CALIFORNIA 州 SAN FRANCISCO 市 Aetna Medicare Select Plan (HMO)_H0523-070. CALIFORNIA 州 ALAMEDA 縣 SAN FRANCISCO 市 Aetna Medicare Value Plus Plan (HMO-POS)_H0523-076. 87% of Aetna® Medicare Advantage members are in 4-star plans or higher for 2024. Every year, Medicare evaluates plans based on a 5-star rating system. Read the latest press release on our Star Ratings for 2024 and our ongoing commitment to improving health outcomes for members. Learn more about our commitment.Aetna SilverScript Medicare Part D Prescription Drug plans offer prescription drug coverage benefits to those on Medicare without breaking the bank. ... The 2023 formulary can be found on the Medicare.gov plan finder tool or on SilverScript.com. Reply. Kim Palmer SSD says: April 24, 2023 at 2:08 pm.Choose a 2023 formulary (drug list) name to see documents. Plan Type. ... If you're enrolled in an Aetna Medicare Advantage ESA or PPO plan through your former employer, trust or union, you can also access telehealth visits with out-of-network providers. They have to be Medicare eligible and willing to bill and receive payment from Aetna ...

This 2022 comprehensive formulary is a listing of brand-name and generic drugs. Aetna Medicare’s 2022 formulary covers most drugs identified by Medicare as Part D drugs, and your copay may differ depending upon the tier at which the drug resides. The copay tiers for covered prescription medications are listed below.Up to 30-day supply from a network pharmacy. $5 copay. 30% of the Plan's allowance, limited to $200 per prescription. 50% of the Plan's allowance, limited to $200 per prescription. 15% of the Plan's allowance, limited to $225 per prescription. Tier cost share of contracted rate and difference between contracted rate and billed amount.Aetna SilverScript Medicare Part D Prescription Drug plans offer prescription drug coverage benefits to those on Medicare without breaking the bank.Choice PDP. The monthly premium is $33.60. Potentially, the premium could be as low as $0 if you qualify for Extra Help. The Choice PDP option offers a $505 deductible and $2 copays for Tier 1 medications. Covered insulins will be no more than $35 for a month’s supply.Plan features and availability may vary by service area. For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 10 days. You can call 1-866-235-5660 (TTY: 711), 24 hours a day, 7 days a week if you do not receive your mail-order drugs within ...Connect to care. Aetna Medicare Advantage plans take a total, connected approach to your health. Our main goal is to help you live your healthiest life possible, body and mind. We're here for you, if you need help understanding your care, your plan benefits, or if you ever have questions.Enrollment in plans depends on contract renewal. Availability of benefits and plans varies by carrier and location. Not affiliated with or endorsed by any government agency. Every year, Medicare ...We would like to show you a description here but the site won’t allow us.

SilverScript SmartSaver (PDP) S5601 - 183 - 0. (3 / 5) SilverScript SmartSaver (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $5.20. Enroll Now. This page features plan details for 2024 SilverScript SmartSaver (PDP) S5601 – 183 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.SilverScript Plus (PDP) S5601 - 023 - 0. (3 / 5) SilverScript Plus (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $101.80. Enroll Now. This page features plan details for 2024 SilverScript Plus (PDP) S5601 – 023 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.2022 Formulary. (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. This formulary was updated on 08/17/2021. For more recent information or other questions, please contact Customer Care at 1-844-460-8767, 24 hours a day, 7 days a week.When it refers to “plan” or “our plan,” it means Aetna Medicare Rx offered by SilverScript. This document includes a list of the drugs (formulary) for our plan, which is current as of March 20, 2023. For an updated formulary, please contact us.SilverScript SmartSaver (PDP) (S5601-188-0) Benefit Details. Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. The SilverScript SmartSaver (PDP) (S5601-188-0) Formulary Drugs Starting with the Letter A. in CMS PDP Region 13 which includes: MI. Drugs Starting with Letter A.

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The Medicare website shows that RX is covered for 90 pills every 3 months. It even shows the cost per refill every 3 months. However, he just received a letter stating that only 21 pills per month are covered. ... December 29, 2023. ... Existing Aetna SilverScript member, called phone # on card to ask VERY SIMPLE prescription question, was ...How Part D works with other insurance. Learn about how Medicare Part D (drug coverage) works with other coverage, like employer or union health coverage. Part D (Medicare drug coverage) helps cover cost of prescription drugs, may lower your costs and protect against higher costs.Review our Medicare Supplement Insurance plans. 87% of Aetna® Medicare Advantage members are in 4-star plans or higher for 2024. Every year, Medicare evaluates plans based on a 5-star rating system. Read the latest press release on our Star Ratings for 2024 and our ongoing commitment to improving health outcomes for members. SilverScript SmartSaver is our way of saying we're focused on helping you save on your drugs. We've added these money-saving benefits: Select insulins are now available for just a $10 copay at preferred pharmacies. And a $20 copay at standard pharmacies. We’ve moved 490 drugs down to Tier 1 and 2 drugs. Many antidiabetic brand drugs are now ... Some issues related to Medicare may not be solvable by phone or using online resources. In that case, you would be wise to look for Medicare office locations by zip code and find o...

Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan. Subject: Wegovy PA Policy 4774-A 08-2022 v2. Drug: ... The requested drug will be covered with prior authorization when the following criteria are met: ... 2023 Additional Information. Clinical Policy Bulletin Notes. Company Information ...Important Notice from Aetna About Our Prescription Drug Coverage and Medicare The Office of Personnel Management (OPM) has determined that Aetna HealthFund prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participantsThis formulary was updated on 10/01/2023. For more recent information or other questions, please contact Aetna Medicare Member Services at 1-866-241-0357 or ...Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the SilverScript SmartSaver (PDP) benefit details. — Medicare Plan Features —. Monthly Premium: $15.70 (see Plan Premium Details below) Annual ...Aetna Medicare Rx offered by SilverScript 2023 Formulary (List of Covered Drugs) 4T Classic Formulary PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on 08/23/2022. For more recent information or other questions, please2023 Standard Opt Out Plan — Aetna Formulary Exclusions Drug List . 893218-03-06 (10/23) ... Standard Opt Out Plan Formulary Exclusions Drug List (10/2023) Excluded … Find a list of covered prescription drugs under your Aetna plan - or for the plan you're considering if not yet a member - as well as medication cost estimates. We would like to show you a description here but the site won't allow us.Covered options include: leuprolide, Eligard Non-formulary; not covered. Covered options include: Pulmicort Flexhaler (for all members), Qvar (for members 5 years of age and under only) Drug name. Change(s) FLUTICASONE PROPIONATE. Non-formulary; not covered. HF. Covered options include: Pulmicort Flexhaler (for all members), Qvar.

Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Washington to help cover your prescription drug costs.

Aetna Medicare Rx offered by SilverScript is a group standalone Medicare Prescription Drug Plan (PDP). This Plan is offered by SilverScript Insurance Company, which has a Medicare contract. SilverScript Insurance Company and Aetna are affiliated companies. Enrollment in the Plan depends on Medicare contract renewal. 08/24/2023.Gap Coverage Phase. After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name.Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716.You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., Richardson, TX 75081. Find a list of covered prescription drugs under your Aetna plan - or for the plan you're considering if not yet a member - as well as medication cost estimates. Browse Any 2023 Medicare Plan Formulary (Drug List) ... Medicare Plan Name: SilverScript Choice (PDP) by Aetna Medicare: State: Ohio: Plan ID: S5601 - 028 - 0 Click to see other plans: Member Services: 1-866-235-5660 TTY users 711 — This plan information is for research purposes only. ...Browse Any 2023 Medicare Plan Formulary (Drug List) ... Medicare Plan Name: SilverScript Choice (PDP) by Aetna Medicare: State: New York: Plan ID: S5601 - 006 - 0 Click to see other plans: Member Services: 1-866-235-5660 TTY users 711 — This plan information is for research purposes only. ...Medicare Advantage members, you can request a copy of your 2024 Evidence of Coverage or Formulary if you need one. Prescription drug plan members (SilverScript® Choice (PDP), SilverScript Plus (PDP), or SilverScript SmartSaver (PDP)), you can request a copy of your Evidence of Coverage, formulary and pharmacy directory.

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SilverScript SmartRx (PDP) S5601 - 177. (3.5 / 5) SilverScript SmartRx (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $7.40. Enroll Now. This page features plan details for 2022 SilverScript SmartRx (PDP) S5601 – 177.Medicare Advantage members, you can request a copy of your 2024 Evidence of Coverage or Formulary if you need one. Prescription drug plan members (SilverScript® Choice (PDP), SilverScript Plus (PDP), or SilverScript SmartSaver (PDP)), you can request a copy of your Evidence of Coverage, formulary and pharmacy directory.An Aetna Medicare formulary typically lists drugs grouped by the types of medical conditions they are used to treat. It also lists them in alphabetical order. To find out which …We would like to show you a description here but the site won't allow us.Aetna Medicare Rx offered by SilverScript . 2023 Formulary (List of Covered Drugs) 5T Comprehensive+ Formulary. PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. This formulary was updated on 03/20/2023. For more recent information or other questions, please Aetna Medicare Rx offered by SilverScript Mid High Rx . Benefits and Premiums are effective January 1, 2023 through December 31, 2023. SUMMARY OF BENEFITS PROVIDED BY SILVERSCRIPT INSURANCE COMPANY PHARMACY - PRESCRIPTION DRUG BENEFITS Monthly Premium SilverScript Choice (PDP) S5601 - 016 - 0. (3 / 5) SilverScript Choice (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $52.30. Enroll Now. This page features plan details for 2024 SilverScript Choice (PDP) S5601 – 016 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.Aetna Medicare Plan PPO Enrollees. 2024 Aetna Medicare Plan PPO Annual Notice of Changes (Medicare Parts A & B) ... 2024 SilverScript Formulary (List of Covered Drugs) 2024 SilverScript Summary of Benefits; ... 2023-2024 Vision Service Plan Evidence of Coverage; VSP Special Offers on Glasses, Contacts, LASIK & More ...Out-of-pocket maximum $6,000 per person, limited to $12,000 per Self Plus One or Self and Family enrollment (medical and prescription) $2,000 per person (prescription only) Coinsurance. $0 coinsurance, except prescription drugs. $0 coinsurance, only applies to Specialty drugs. Medical coverage You pay. ….

Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Arizona to help cover your prescription drug costs.For 2024, Aetna has raised prices for all of its plans. The high-end SilverScript Plus plan sees the biggest change — it’s over $25 per month more expensive than last year, on average. Average ...Get organized with paperless EOBs. Your EOB is a summary of your prescription drug claims and costs. It also lists any changes to your plan’s drug list, or formulary, that may affect you. Use your EOB to see your progress through the Medicare Part D coverage phases, including the coverage gap. With paperless EOBs, you have up to 36 months of ...Aetna Medicare Advantage plans take a total, connected approach to your health. ... The Evidence of Coverage will tell you exactly what's covered and your out-of-pocket costs. ... Page last updated: October 31, 2023 ©[current-year] Aetna Inc. Y0001_GRP_4006_3911. You are now leaving the Aetna Medicare website.We would like to show you a description here but the site won't allow us.SilverScript Plus (PDP) S5601 - 015 - 0. (3 / 5) SilverScript Plus (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $98.70. Enroll Now. This page features plan details for 2024 SilverScript Plus (PDP) S5601 - 015 - 0. IMPORTANT: This page has been updated with plan and premium data for 2024.Gap Coverage Phase. After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name.Browse Any 2023 Medicare Plan Formulary (Drug List) ... Medicare Plan Name: SilverScript Choice (PDP) by Aetna Medicare: State: Ohio: Plan ID: S5601 - 028 - 0 Click to see other plans: Member Services: 1-866-235-5660 TTY users 711 — This plan information is for research purposes only. ...Once you reach $5,030 for your drugs, you enter the coverage gap or “donut hole.”. Coverage gap phase. During this phase, you’ll receive limited coverage on certain drugs. For generic and brand-name drugs, you’ll pay 25 percent of the cost. This phase continues until your yearly out-of-pocket drug costs reach $8,000. Aetna medicare silverscript formulary 2023, Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Contact us. Contact Member Services. Find a dentist or dental specialist in the Aetna Medicare network in your area., After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs., The latest formulary, formulary updates, step therapy criteria, pa criteria. Skip to main content. ... Under Aetna Better Health Premier Plan, some drugs may have special requirements or coverage limits. ... CMS Accepted: 2/19/2023. Last Updated: 2/28/2023. You are now leaving Aetna Better Health of Michigan ., What is the SilverScript Formulary? A formulary is a list of covered drugs selected by SilverScript in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. SilverScript will generally cover the drugs listed in our formulary as long, P.O. Box 30006, Pittsburgh, PA 15222-0330 . Aetna Medicare Rx offered by SilverScript . 2023 Formulary (List of Covered Drugs) 5T Comprehensive+ Formulary. PLEASE READ: THIS D, Page last updated: October 01, 2023 ©[current-year] Aetna Inc. Y0001_34893_2024_M. You are leaving AetnaMedicare.com for InstaMed.com. ... Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options. ..., SilverScript Plus (PDP) S5601 - 108 - 0. (3 / 5) SilverScript Plus (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $117.50. Enroll Now. This page features plan details for 2024 SilverScript Plus (PDP) S5601 - 108 - 0. IMPORTANT: This page has been updated with plan and premium data for 2024., Aetna considers the FDA-cleared weight reduction device, Plenity (Gelesis, Inc.), as medically necessary to aid in weight management in overweight and obese adults with a Body Mass Index (BMI) of 25-40 kg/m 2, when used in conjunction with diet and exercise. Weight Reduction Medications. Note: Many Aetna benefit plans specifically exclude ..., Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Kansas to help cover your prescription drug costs., Call us. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in South Carolina to help cover your prescription drug costs., Click here to see plans for the current plan year. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the SilverScript Plus (PDP) benefit details. — Medicare Plan Features, SilverScript ® Plus (PDP) Average Monthly Premium. (Your actual premium may differ) $11.19. $46.59. $103.51. Deductible. $0. For Tier 1., PDP-Compare: 2023/2024 Medicare Part D plan changes; 2024 MA-Finder: Medicare Advantage Plan Finder; MA plan changes 2023 to 2024; Drug Finder: 2024 Medicare Part D drug search; Formulary Browser: View any 2024 Medicare plan's drug list; 2024 Browse Drugs By Letter; Guide to 2023/2024 Mailings from CMS, Social Security and Plans; Out-of-Pocket ..., We’ve got answers. Call us. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Louisiana to help cover your prescription drug costs., We would like to show you a description here but the site won't allow us., Some issues related to Medicare may not be solvable by phone or using online resources. In that case, you would be wise to look for Medicare office locations by zip code and find o..., 10 UPDATED 10/01/21. Drug tier copay levels. This 2022 comprehensive formulary is a listing of brand-name and generic drugs. Aetna Medicare's 2022 formulary covers most drugs identified by Medicare as Part D drugs, and your copay may differ depending upon the tier at which the drug resides., How do I request an exception to the Aetna Medicare Formulary? 7 What do I do before I can talk to my doctor about changing my drugs or requesting an exception? 8 For more information 8 Mail-order pharmacy 8 Drug tier copay levels 9. Aetna® Medicare Formulary 10. Formulary key 11. Drug list 11 Index of Drugs 108 Enhanced drug list** 126, To determine if Silverscript covers Ozempic, you should: Review your plan's formulary: Silverscript maintains a list of covered medications, known as a formulary. Check if Ozempic is included in your plan's formulary. Check coverage tiers: Medications are often categorized into different tiers, with each tier having a different cost-sharing amount., Call us. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Michigan to help cover your prescription drug costs., We would like to show you a description here but the site won’t allow us. , Aetna Medicare offers 3 options of Medicare Part D Prescription Drug Plans. Whether you're looking for low premiums, low copays, or a broad selection of generic and brand name drugs, Aetna Medicare has the plan for you. ... 45 percent lower than the plan's 2023 deductible amount. *FOR SILVERSCRIPT PLUS COPAYS: For up to a 90-day supply at a ..., Aetna's Medicare Part D plans are regulated by CMS and must cover a wide range of prescription drugs that people with Medicare take. Plans include a coverage gap that begins when you and your plan have spent a certain amount ($4,660 in 2023) on prescription drugs and ends when you've spent $7,400 and entered the catastrophic coverage period ., Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716.You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., …, Dupixent® (dupilumab) Note: Precertification review for this medication is handled by Aetna Pharmacy Management Precertification at 1-855-240-0535 or fax applicable request forms to 1-877-269-9916. Exception: Requests for drugs administered by a healthcare professional that will be billed to the medical plan, call 1-866-752-7021 or fax ..., Shop Aetna Medicare plans. ... Page last updated: October 01, 2023 ©[current-year] Aetna Inc. Y0001_34893_2024_M. You are leaving AetnaMedicare.com for InstaMed.com. ... Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and ..., Up to 30-day supply from a network pharmacy. $5 copay. 30% of the Plan's allowance, limited to $200 per prescription. 50% of the Plan's allowance, limited to $200 per prescription. 15% of the Plan's allowance, limited to $225 per prescription. Tier cost share of contracted rate and difference between contracted rate and billed amount., Those approaching the age of 65 face the responsibility of enrolling in Medicare, the health insurance program for seniors and people with disabilities. Medicare provides a wide va..., SilverScript Plus (PDP) S5601 - 029 - 0. (3 / 5) SilverScript Plus (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $101.10. Enroll Now. This page features plan details for 2024 SilverScript Plus (PDP) S5601 - 029 - 0. IMPORTANT: This page has been updated with plan and premium data for 2024., Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Filling your Medicare prescriptions is easy with Aetna. Find a pharmacy in our network or get your prescriptions delivered directly by mail., Aetna's additive effects on CVS' earnings might be front and center, but it isn't fully actualized just yet....CVS As CVS Health (CVS) continues to tout its Aetna acqui..., How to get started. We have several ways for you to fill a prescription through the network specialty pharmacy. New prescriptions: For a new prescription, your doctor can: e-Prescribe NCPDP ID 1466033. Fax your prescription to 1-800-323-2445. Call us at 1-800-237-2767., SilverScript Choice S5601-036 (PDP) Missouri. Medicare. ... For prescription drug on formulary at in-network pharmacy. ... (Adair County) Aetna Medicare Medicare Prescription Drug (Part D) Plans ...