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Formularies and 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

 

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: Advanced Control Plans-Aetna, Aetna Health Exchange Plans, 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.

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.