For 2016, APNS member pharmacies will be “participating” in ALL AETNA Medicare Part D plans; however, APNS pharmacies are NOT contracted as “preferred” pharmacies – meaning, if the plan is preferred, there will be a copay differential for the patient’s filling prescriptions at an APNS pharmacy.

Aetna will begin using a new RxGroup for Medicare Part D members. Effective August 2015, new Aetna members will receive ID cards using the new claims processing information.

TEMPORARILY your pharmacy was able to process claims for all Aetna Part D plans at CVS/Caremark Medicare Part D Network 12 and CVS/Caremark Medicare Part D Extended Days Supply Network 12 in network reimbursement rates. TEMPORARY ACCESS was effective for claims dating back to January 1, 2015. Please be advised that your TEMPORARY ACCESS for certain plans is through March 31, 2015.

This means that effective April 1, 2015 your pharmacy will receive Reject 40 (out-of-network) notices for claims submitted for the Standard and Standard Preferred Networks (Please download the PDF file listed below for more details).

Reminder:

APNS Pharmacy Providers are contracted for the following Aetna/Coventry networks: