Does Aetna CVS Health cover Singulair?

About Singulair

Singulair (generic name Montelukast) is a leukotriene modifier prescribed for asthma and allergies. It's one of the more commonly dispensed drugs in its class, which is part of why it appears on nearly every major commercial formulary — including Aetna CVS Health's.

How Aetna CVS Health typically covers leukotriene modifiers

Respiratory drugs are an area where Aetna CVS Health's formulary tiering matters a lot — combination inhalers and brand-only maintenance therapies often sit on tier 3, while the rescue inhalers and older inhaled corticosteroids land on tier 1 or 2. Singulair typically falls at Tier 1 (preferred generic).

What Singulair typically costs on a Aetna CVS Health plan

Cost-wise, Singulair on Tier 1 (preferred generic) typically runs $0–$15 per fill on Aetna CVS Health plans. Gold and Platinum tiers usually skip the deductible for prescriptions and apply the copay immediately; Silver and Bronze tiers may make you meet a deductible first.

Generic vs. brand

Singulair has a generic equivalent (Montelukast), and Aetna CVS Health's formulary structure consistently steers members toward it. If you have a specific clinical reason for the brand, plans usually allow a medical-necessity exception, but the default path is the generic.

Before you enroll

Before you enroll in a Aetna CVS Health plan for Singulair coverage, verify three things on the specific plan filing: (1) the drug is on the formulary at the tier you expect, (2) there's no prior authorization or step-therapy requirement that would delay your first fill, and (3) the pharmacy you use is in-network. The plan's Summary of Benefits and formulary PDF, both linked from each plan's detail page, have all three.

Frequently asked questions

Does Aetna CVS Health cover Singulair?

Singulair is on the formulary for most Aetna CVS Health Marketplace plans, typically at Tier 1 (preferred generic). Specific coverage, copay, and any prior-authorization requirements vary by individual plan — enter your ZIP to see your county's plans.

What tier is Singulair on Aetna CVS Health's formulary?

On most Aetna CVS Health plans, Singulair sits at Tier 1 (preferred generic). Plans in the carrier's lineup occasionally place it differently — Gold and Platinum plans sometimes consolidate tiers, and a small number of Silver plans may move brand drugs up a tier in exchange for lower premiums.

How much does Singulair cost on a Aetna CVS Health plan?

Cost-share at Tier 1 (preferred generic) is typically $0–$15 per fill once you've met any applicable prescription drug deductible. The actual amount depends on which plan you pick and whether you fill at a preferred pharmacy.

Will Aetna CVS Health cover Singulair or only the generic?

Aetna CVS Health plans cover both, but the generic Montelukast is on a lower tier and is the default. If you need the brand specifically, expect a higher copay or a step-therapy requirement that asks for documentation of why the generic isn't suitable.