Your pharmacy plan covers thousands of drugs. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates Aetna. Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype.

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Your doctor should consult the Drug List when prescribing drugs for you. This may help lower your out-of-pocket costs. You, your prescribing health care provider, or your authorized representative, can ask for a Drug List exception if your drug is not on or is being removed from the Drug List, or the drug required as part of step therapy or dispensing limits has been found to be or likely to be not right for you or does not work as well in treating your condition. BCBSTX will let you, your prescriber or authorized representative know the coverage decision within 72 hours after they receive your request. If the coverage request is denied, BCBSTX will let you and your prescriber or authorized representative know why it was denied and offer you a covered alternative drug if applicable. These drug lists are a list of drugs considered to be safe and effective. Note: The drug lists may not apply for all members. These can include Platinum, Gold, Silver, or Bronze plans. This drug list coverage ended December 31, with the exception of a plan with an off-cycle renewal date.

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