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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 Value Plus, Premier, Premier Plus, Small Group ACA and Aetna Funding Advantage formulary plans

Advanced Control Plan

Advanced Control Plan - Aetna

Aetna Funding Advantage Small Group Value Plus Plan

Aetna Health Exchange Plan - Small Group

Aetna Health Exchange Plan - Individual

Aetna Premier plans

Aetna Premier Plus plans

Aetna Small Group ACA plans

Aetna Standard Plan

Aetna Value and Value Plus Plan

High Value Plans

New Jersey Educators Plan

Standard Opt Out Plan

Standard Opt Out Plan - Aetna

Standard Opt Out Plan with ACSF

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.


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