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 all formularies (except the Aetna Standard Plan)
Advanced Control Plan
Advanced Control Plan - Aetna
Aetna Funding Advantage Small Group Value Plus Plan
Aetna Performance Plan
Aetna Standard Plan
Balanced Formulary Plans
2020 Balanced Formulary Plans - Information Coming Soon
High Value Plans
Aetna Premier plans
Aetna Premier Plus plans
Aetna Small Group ACA plans
Standard Opt Out Plan
Standard Opt Out Plan - Aetna
Standard Opt Out Plan with ACSF
Aetna Value plans
Aetna Value Small Group plans
Aetna Value Plus plans
Aetna Value Plus Small Group plans
Aetna commercial self-insured plans
Aetna commercial fully insured plans
Attention: Pennsylvania Medicaid providers
We have different CPBs for Pennsylvania Medicaid. They are not available through search. Instead, use the link below.
Pharmacy Criteria
Search our Pharmacy Clinical Policy Bulletins for the following commercial formulary plans: Premier, Premier Plus, Value Plus, Small Group ACA, Advanced Control Plans-Aetna, 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.
