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2022 Comprehensive Formulary

2022 Comprehensive Formula ryAetna D-SNP(List of Covered Drugs) B2 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS Formulary was updated on 06/01/2022. For more recent information or other questions, please contact aetna D-SNP Member Services at 1-855-463-0933 or for TTY users: 711, 24 hours a day, 7 days a week, or visit ID Number: 22007 Version 15Y0001_NR_26271_2022_C Updated 06/01/22 22007 AETVA2 Updated 06/01/22 Table of contentsMail-order Pharmacy 3 What is the aetna D-SNP Comprehensive Formulary ? 4 Can the Formulary (drug list) change? 4 How do I use the Formulary ? 5 What are generic drugs? 5 Are there any restrictions on my coverage? 5 What if my drug is not on the Formulary ? 6 How do I request an exception to the aetna D-SNP Formulary ?? 6 What do I do before I can talk to my doctor about changing my drugs or requesting an exception?

Aetna D-SNP is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Aetna D-SNP es un plan HMO, PPO con un contrato de Medicare. Nuestros Planes de necesidades especiales (SNP, por sus siglas en inglés) también tienen contratos con los

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