Prescription Drugs
Jackson School District


You are advised to review the below Aetna Drug Guides to learn which drugs are covered/not covered; you can confirm coverage for your prescriptions by logging into your Aetna Online Account.

Aetna $15/30 Prescription Plan (excludes NJEHP Plan) Formulary:
Standard Opt Out Plan Pharmacy Drug Guide

NJEHP Plan Formulary:
High Value Plan Pharmacy Drug Guide

How to save on out-of-pocket costs for prescription drugs...

Mail-Order Pharmacy
When you order your prescriptions for maintenance / long-term drugs via CVS Caremark, a licensed pharmacy fills and delivers your prescription to your home. Also known as "mail service pharmacy", mail-order pharmacy saves you time and money with fewer trips to the pharmacy -- and you can usually fill your maintenance prescriptions for a three-month supply at a time.


Questions on how to get started? Here's how:
Review the Mail Service Pharmacy Brochure
Log in to your Online Member Services account: aetna.com
Call toll-free: (888) 792-3862
Complete and send: the Medication Order Form and your original prescription order to CVS Caremark


Generic Drugs
Approved by the Food and Drug Administration (FDA), generic drugs are as safe and effective as the equivalent brand-name drug, and offer a way to take control of your health care costs. In certain instances, you have a choice between brand-name and generic drugs. To take advantage of your plan's lower generic copay instead of the higher brand-name copay, ask your physician to prescribe a generic drug or write a prescription that allows for substitution of a generic drug whenever possible.


In New Jersey, if a physician indicates "substitution permissible" or gives no indication at all on the prescription, the pharmacist must substitute a generic drug in place of a brand-name drug. However, you or your physician has the option to advise the pharmacist that a substitution is not permissible if you prefer the brand-name drug.

Keep in mind you may also pay a lower price for certain generic drugs at some retail pharmacies, like Walmart or Kmart, without using your prescription card at the pharmacy window.

Visit the following links to find more information about generic drugs:
FDA Recent Generic Drug Approvals
FDA Generic Drugs: Questions & Answers


Other important information you should know:

Eligible for Medicare?
If you are eligible for Medicare and are enrolled in the District prescription plan, you are enrolled in a 'creditable coverage' plan. This means you will not be penalized when you decide to enroll in a Medicare Part D plan in the future because your District plan is expected to cover your prescription drugs on the same level as a standard Medicare plan. You are provided with a Notice of Creditable Coverage (below) annually; be sure to keep these notices on file. Visit www.medicare.gov for more information.


2021 Notice of Creditable Coverage
2021 Notice of Non-Creditable Coverage
2020 Notice of Creditable Coverage
2019 Notice of Creditable Coverage
2018 Notice of Creditable Coverage
2017 Notice of Creditable Coverage
2016 Notice of Creditable Coverage
2015 Notice of Creditable Coverage
2014 Notice of Creditable Coverage


Specialty Drugs
Specialty drugs / medications are derived through complex biological or genetically engineered processes. They are used to treat very serious or chronic medical conditions such as cancer, rheumatoid arthritis, cystic fibrosis, growth hormone deficiency, and multiple sclerosis. These medications require special handling, careful administration, and ongoing patient care management.