Prudent Rx Specialty Drugs

Contact Information: 
Call PrudentRx at 1-800-578-4403,
Monday through Friday, from 8 AM to 8 PM. ET.

How do I get started?:
PrudentRx will work with you to obtain third-party copay assistance for your medication, if available.  Once you’re enrolled, you’ll pay nothing out-of-pocket – that’s right, $0! – for medications on your plan’s specialty drug list dispensed by CVS Specialty.  Even if your covered specialty medication under the PrudentRX drug list has no copay card, your out-of-pocket costs will be $0, as long as you are enrolled in the PrudentRx program. Some exclusions do apply. Any specialty prescriptions not eligible under PrudentRx will fall to the applicable tier for that drug.

Medication Covered Under PrudentRX:
As with any formulary, the Specialty Medication list will be updated periodically. However, even if your covered specialty medication under the PrudentRX drug list has no copay card, your out-of-pocket costs will be $0, as long as you are enrolled in the PrudentRx program. Some exclusions do apply. Any specialty prescriptions not eligible under PrudentRx will fall to the applicable tier for that drug.

2026 PrudentRX Drug List

What are Specialty Medications?: 
Through the Aetna health plan, your specialty medications are dispensed through CVS Specialty Pharmacy.  There are over 400 Specialty medications available today and that number is rapidly growing. Rare diseases requiring specialty medication affect between 25-30 million patients.  Specialty medications provide added relief for patients with Hepatitis C, Autoimmune disorders, Oncology and Multiple Sclerosis. 

Specialty medications typically cost several hundred dollars monthly, as they may require unique methods of administration such as injections, infusions, or nebulizers. In addition, routine patient monitoring may require lab tests, office visits, enrollment and documentation into monitoring programs, medication risk evaluation and prior authorization from the insurer (Aetna).

Questions:
Please view the PrudentRX Frequently Asked Questions flyer to answer many questions on the Specialty Drug Program through PrudentRx.