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2024 Standard Opt Out Plan with ACSF: Banner | Aetna 

You may search for your prescription in several ways:

  • Use the alphabetical list to search by the first letter of your medication
  • Search by typing part of the generic (chemical) or brand (trade) name
  • Search by the therapeutic class of your medication

Check your plan documents for coverage information. Your plan may not cover certain drugs to treat conditions such as infertility, erectile dysfunction and weight loss. To check coverage and copay information for a specific medicine, log into your member website. If you’re still not sure whether your plan benefits include coverage, call the toll-free number on the back of your ID card.
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2024 Drug Search for Standard Opt Out Plan with ACSF: Banner | Aetna

Check your plan documents for coverage information. Your plan may not cover certain drugs to treat conditions such as infertility, erectile dysfunction and weight loss. To check coverage and copay information for a specific medicine, log into your member website. If you’re still not sure whether your plan benefits include coverage, call the toll-free number on the back of your ID card.

The formulary is updated the first week of each month.

 
Formulary Id: 22624
Formulary Effective Date: 01/01/2024
Updated:
12/2023

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