Prescription Drugs
Perth Amboy Public Schools



Our District prescription carrier is CVS/Aetna. See below for information about your prescription coverage.

Aetna Prescription Drug Formularies:
Note: you are advised to review the below Aetna Drug Guides to learn which drugs are covered/not covered. For the latest formulary updates, be sure to check the most recent “plan guide changes” included at the below Aetna links. You can confirm coverage by logging into your Aetna Online Account.

NJEHP / GSP Plan Formulary
Standard Plan Formulary (all other plans)

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

Mail-Order Pharmacy:
When you order your prescriptions for maintenance drugs from CVS Caremark, a licensed pharmacy fills and delivers your prescription to your home. Also known as "home delivery 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.

To obtain mail-order prescriptions after July 1, 2022, you must first set up a mail-order account in one of two ways:

1) with the Mail Service Order Form
2) at the Aetna member portal

Once your account is set up, your doctor can submit your prescription, either:

1) Online: using an e-prescribing service or the Aetna provider portal
2) Fax: fax to 877-270-3317 with a cover sheet that includes member ID number, birthdate, and mailing address. Note: only your doctor can fax a prescription

Introductory Brochure
Mail Service Order Form
www.aetna.com

 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 you 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 without using your prescription card; ask your pharmacist for details.

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.

2023 Notice of Creditable Coverage
2022 Notice of Creditable Coverage
2021 Notice of Creditable Coverage
2020 Notice of Creditable Coverage
2019 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.



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