Get Aetna Mail Order Form

This guide provides clear and supportive instructions for completing the Aetna Mail Order Form online. By following the steps outlined below, users can ensure their medication orders are submitted accurately and efficiently.

Follow the steps to successfully complete the Aetna Mail Order Form.

1. Click ‘Get Form’ button to access the Aetna Mail Order Form and open it in your preferred document editor.
2. Enter your ID number at the top of the form, ensuring accuracy to prevent delays with your medication order.
3. Fill in the prescription plan sponsor or company name. Use blue or black ink and capital letters for clarity.
4. Indicate the number of new prescriptions by entering the corresponding number in the designated field. Remember to mail your new prescriptions along with this form.
5. If ordering refills, list the prescription numbers in the designated section. For fastest service, consider ordering refills through the provided web portal or by calling Aetna directly.
6. Provide the shipping address where the medications should be sent. Ensure that all fields, including last name, first name, street address, city, state, and ZIP code, are filled out accurately.
7. Complete the section regarding the individuals receiving prescriptions. Enter the first and last names, their date of birth, and any relevant allergies or health information for each person.
8. Use the 'Special instructions' section if you have specific requests, such as no substitution of generic medications.
9. Select your preferred payment method. Indicate if you are paying by electronic check, credit/debit card, or check/money order. Make sure to fill in the necessary details for your chosen payment option.
10. Sign and date the form to authorize Aetna Rx Home Delivery to process your order and payment.
11. Finally, save your changes, then download, print, or share the form as needed to complete your order process.

Begin filling out the Aetna Mail Order Form online today for efficient medication management.