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Changes to commercial drug lists begin on January 1

 

On January 1, 2023, we’ll update our pharmacy drug lists. Changes may affect all drug lists, precertification, step therapy and quantity limit programs.

 

You’ll be able to view the changes as early as October 1. They’ll be on our Formularies and Pharmacy Clinical Policy Bulletins page.

 

Ways to request a drug prior authorization

 

  • Submit your completed request form through our Availity provider portal.*
  • For requests for non-specialty drugs, call 1-800-294-5979 (TTY: 711). Or fax your authorization request form (PDF) to 1-888-836-0730.
  • For requests for drugs on the Aetna Specialty Drug List, call 1-866-814-5506 or go to our Forms for Health Care Professionals page and scroll down to the Specialty Pharmacy Precertification (Commercial) drop-down menu. If the specific form you need is not there, scroll to the end of the list and use the generic Specialty Medication Precertification request form. Once you fill out the relevant form, fax it to 1-866-249-6155.

 

For more information call the Provider Help Line at 1-800-AETNA RX (1-800-238-6279) (TTY: 711). 

 

*Availity is available only to U.S. providers and its territories.

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

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