Aetna Medicare gets new Pharmacy Benefits Manager

New Pharmacy Benefits Manager (PBM) for Coventry, Altius, HAPA and
First Health Part D members

In 2016, members of Coventry, Altius, HAPA and First Health Part D plans have a new Pharmacy Benefits Manager (PBM). A PBM manages their prescription drug benefits on behalf of our plan.

In 2015, the PBM was Express Scripts (ESI). In 2016, the PBM is CVSHealth. Because of this change, members may see or hear the CVSHealth name.

What you need to know

  • Members can use any 2016 network pharmacy to get their prescription drugs. Even though CVSHealth is now the PBM, they don’t have to use a CVS pharmacy to fill prescriptions. 
  • If members get mail-order drugs today, they may need to call us to keep getting them. To be sure, members should call Member Services.
  • Members received a letter about these changes in the 4th quarter. If they have any questions, they can call Member Services at the number on their ID card.