Pharmacy Benefits

Effective January 1, 2021

Aetna Pharmacy
Phone | 833.982.7368

RX Benefit Summary (English)

RX Benefit Summary (Spanish)

Aetna Pharmacy Drug Guide

Prescription Drug Claim Form

Effective January 1, 2021

PrudentRX
Phone | 800.578.4403

PrudentRX Newsletter

PrudentRX Specialty Drug List

Effective January 1, 2021

CVS Caremark Mail Service Pharmacy
Phone | 888.792.3862

CVS Caremark Mail Service/Home Delivery Flyer

CVS Caremark Mail Service Order Form

CVS Maintenance Choice Program

Effective January 1, 2021

CVS Specialty® pharmacy
Phone | 800.237.2767

CVS Specialty Pharmacy Flyer

Effective through December 31, 2020

Customer Service
Phone | 800.818.6634

Benefit Summaries

Pharmacy Forms & Documents

Effective through December 31, 2020

Specialty Pharmacy
Phone | 800.803.2523