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Formularies & Pharmacy Clinical Policy Bulletins

Guides for prescription drug coverage

This page includes information on formularies and Clinical Policy Bulletins (CPBs) for Aetna's pharmacy plans.

Formulary search and Clinical Policy Bulletins

Aetna policies that apply to all formularies (except the Aetna Standard Plan)

Advanced Control Plan

Advanced Control Plan - Aetna

Aetna Funding Advantage Small Group Value Plus Plan

Aetna Performance Plan

Aetna Standard Plan

Balanced Formulary Plans

2020 Balanced Formulary Plans - Information Coming Soon

High Value Plans

Aetna Premier plans

Aetna Premier Plus plans

Aetna Small Group ACA plans

Standard Opt Out Plan

Standard Opt Out Plan - Aetna

Standard Opt Out Plan with ACSF

Aetna Value plans

Aetna Value Small Group plans

Aetna Value Plus plans

Aetna Value Plus Small Group plans

Aetna commercial self-insured plans

Aetna commercial fully insured plans

Attention: Pennsylvania Medicaid providers
We have different CPBs for Pennsylvania Medicaid. They are not available through search. Instead, use the link below.

Pennsylvania Medicaid CPBs

Pharmacy Criteria

Search our Pharmacy Clinical Policy Bulletins for the following commercial formulary plans: Premier, Premier Plus, Value Plus, Small Group ACA, Advanced Control Plans-Aetna, and Standard Opt Out Plans-Aetna. Pharmacy Clinical Policy Bulletins for all other formulary plans are available by calling the number on the back of the member’s ID card.


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