The 'Policy History' box contains the following information related to the policy history of the CPB:
The Additional Information box contains important legal, state, and regulatory information to assist you when interpreting the information contained within the CPB. Please check the information within this section, before reading the clinical policy, by clicking the Clinical Policy Bulletin Notes link.
Yes. Select the "Print this Page" icon at the bottom of the policy.
Yes. Select the "Email this Page" icon at the bottom of the policy and complete the information to send an email link to the policy to another party.
Search functionality has been added to help users access information easily. The following search options are available from the main CPB page:
No. While the format of the CPB sections containing the policy, background, coding, and reference sections have been redesigned, the content has not changed.
* This date is subject to change based on various factors, including but not limited to intervening clinical developments and available resources. Aetna does not hereby commit to review any specific CPB by a specific date, and expressly reserves the right to change any CPB without notice.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).
This material is for information only. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Information is believed to be accurate as of the production date; however, it is subject to change.
You are now being directed to the AMA site
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You are now being directed to the CVS Health site
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You are now being directed to the Apple.com COVID-19 Screening Tool
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You are now being directed to the CVS Health COVID-19 testing site
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You are now being directed to
The Fight Is In Us site
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Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
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Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?
