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Pharmacy

How do pharmacists become participating providers in the Aetna pharmacy network?

You can request an enrollment packet in one of three ways:
  1. Apply online
  2. Fax your request to (860) 273-4876
  3. Mail a written request to: Aetna Pharmacy Management Provider Enrollment, RE62, 151 Farmington Ave, Hartford, CT 06156
For fax or mail requests, please include:
  • Name, address and telephone number of the pharmacy
  • Name of contact person at the pharmacy
  • NCPDP number and NPI
Packets are sent out within a week, and the entire enrollment process usually takes about four weeks.

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