Prescription Drugs South Brunswick School District Note: you are advised to review the below formularies 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. $10/$20/$30 Plan Formulary (excludes NJEHP / GSP): Standard Opt Out Plan Pharmacy Drug Guide NJEHP / GSP Plan Formulary: High Value Plan Pharmacy Drug Guide Partnership Health Center (PHC) / IntegrityRx: Drug Formulary 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 Mail Service, 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 get started: Go to your Aetna member website: Register / log in Call toll-free: (888) RxAetna / 792-3862 Complete and send with your prescription: CVS Caremark Mail Service Order Form (English) CVS Caremark Mail Service Order Form (Spanish) 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 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. 2024 Notice of Creditable Coverage 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 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 2013 Notice of Creditable Coverage Specialty Drugs Specialty Medications Flyer 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. Back to Top