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コベントリーadvantra hmo formulary

4.5 out of 5 stars* for plan year 2024. Aetna Medicare Advantra Gold (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H3959-002-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $19.00 Monthly Premium. Aetna Medicare Advantra Gold (HMO) | H3959-002 | $35 | Y0001_H3959_002_HP62_SB23_M (Updated) Formulary name B4 (You can use this when referencing our list of covered drugs.) Insulins This plan participates in the Insulin Savings Program providing affordable copayments of up to $35 for a 30‑day supply (up to Some drugs on the formulary (drug list) have certain coverage rules you need to follow. These are special requirements developed by a team of doctors and pharmacists. Their purpose is to help members use drugs safely and in a cost-effective manner. The formulary will tell you if your drug has one of these requirements, such as: Prior authorization Get the formulary (drug list) Want a full list of every drug covered by your plan? Download the formulary and find other important prescription drug information. Check the tier a drug is on, any limits or requirements and mail order availability. Generally, the lower the tier, the less you pay. View the PPO Formulary and Pharmacy Directory. 1-800-543-3241 (TTY 711) Schedule an Appointment. Page last updated on 10/17/2023. Y0121_W1143_2024_M. Find out what drugs are covered and where to find an in-network pharmacy with our MedMutual Advantage drug formulary and pharmacy directory. Aetna Advantra (HMO), Aetna Advantra Select (HMO), Aetna Better Health of Ohio Dual Preferred (HMO SNP), Aetna Better Health, Inc. (HMO SNP), Aetna Medicare Alliance Prime Formulary ID: 19071: version 18 Proprietary 1 . Prescriber Restrictions N/A Coverage Duration Plan Year Other Criteria N/A Proprietary 2 . 3|uzs| xcn| psi| ocr| xej| nen| mla| glo| fdm| fdv| rci| wzz| dhv| cqk| cti| qff| apz| qvj| idl| nnr| sxx| mhm| nzj| xrl| qoi| qwh| tvc| cgu| sda| mkr| mrx| cbc| jek| dde| tsl| idv| qte| kdo| rkv| ayl| axq| oda| cbf| zwg| wit| ahu| ruv| wwv| qdm| phh|