Key
C | Covered - No restrictions |
Q | Has quantity limits |
S | Has step therapy |
P | Has prior authorization |
N | Not Covered |
| Aetna Medicare Rx Saver (PDP) S5810-067 | SilverScript Choice (PDP) S5601-066 |
| C | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| P | P |
| N | N |
| Q | Q |
| Q | Q |
| Q | C |
| P | P |
| Q | C |
| N | N |
| N | N |
| Q | Q |
| Q | C |
| N | N |
| QP | N |
| Q | Q |
| N | N |
| QP | N |
| Q | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| Aetna Medicare Rx Saver (PDP) S5810-067 | SilverScript Choice (PDP) S5601-066 |
| N | N |
| P | P |
| N | C |
| N | C |
| N | QP |
| N | N |
| N | N |
| N | N |
| N | Q |
| N | C |
| C | C |
| Q | N |
| C | C |
| C | C |
| C | C |
| N | N |
| Q | C |
| P | N |
| Q | P |
| C | Q |
| QP | QP |
| N | N |
| C | C |
| N | N |
| P | C |
| Q | C |
| N | N |
| Q S | P |
| N | N |
| C | C |
| N | N |
| Aetna Medicare Rx Saver (PDP) S5810-067 | SilverScript Choice (PDP) S5601-066 |
| Q | C |
| Q | C |
| N | N |
| N | N |
| Q | Q |
| C | C |
| Q | Q |
| N | N |
| N | N |
| N | N |
| QP | QP |
| C | N |
| N | N |
| C | Q |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | N |
| N | P |
| N | N |
| Q S | Q |
| N | N |
| P | P |
| N | N |
| Q | N |
| N | N |
| N | N |
| Aetna Medicare Rx Saver (PDP) S5810-067 | SilverScript Choice (PDP) S5601-066 |
| C | C |
| N | N |
| N | N |
| N | N |
| QP | C |
| C | C |
| Q S | N |
| N | N |
| C | C |
| N | N |
| P | P |
| N | N |
| N | N |
| C | C |
| QP | P |
| QP | N |
| C | P |
| P | P |
| Q | Q |
| N | N |
| QP | P |
| Q | Q |
| P | P |
| N | C |
| N | N |
| N | C |
| C | C |
| C | C |
| C | C |
| N | QP |
| Aetna Medicare Rx Saver (PDP) S5810-067 | SilverScript Choice (PDP) S5601-066 |
| Q | C |
| Q | C |
| C | C |
| Q | P |
| C | P |
| N | N |
| N | Q |
| N | N |
| Q | N |
| C | C |
| N | N |
| Q | C |
| N | N |
| N | N |
| N | N |
| QP | P |
| P | P |
| Q | Q |
| P | P |
| P | P |
| N | N |
| N | N |
| N | N |
| N | N |
| N | Q |
| Q | C |
| Aetna Medicare Rx Saver (PDP) S5810-067 | SilverScript Choice (PDP) S5601-066 |
| N | N |
| QP | P |
| N | N |
| N | QP |
| N | N |
| Q | N |
| C | Q |
| Q | C |
| Q | Q |
| N | N |
| N | N |
| Q | Q |
| N | N |
| N | N |
| Q | C |
| C | C |
| C | C |
| C | C |
| C | QP |
| C | C |
| N | N |
| N | N |
| C S | C S |
| N | N |
| P | C |
| Q | C |
| Aetna Medicare Rx Saver (PDP) S5810-067 | SilverScript Choice (PDP) S5601-066 |
| N | N |
| N | N |
| N | N |
| Q | C |
| N | P |
| N | N |
| N | Q |
| N | N |
| Q | C |
| Q | C |
| QP | QP |
| N | N |
| N | N |
| N | N |
| N | N |
| QP | C |