These guides help us make coverage decisions for members whose plans cover outpatient prescription drugs. They explain what drugs will be covered.
Pharmacy clinical policy bulletins and pharmacy clinical coverage criteria are highly technical. They are meant to be used by health care professionals.
These bulletins and criteria usually are for drugs that are on the Preferred Drug List, or require precertification or step therapy.
Aetna Individual Formulary Prior Authorization and Step Therapy
Aetna Small Group Essential Formulary Precertification and Step Therapy
Aetna Premier and Premier Plus Formulary Precertification and Step Therapy
Aetna Value and Value Plus Formulary Precertification and Step Therapy
Aetna Commercial Formulary for Fully Insured Plans
Aetna Commercial Formulary for Self-Insured Plans
Aetna Co-Pay Exception for Contraceptives Policy
Search our 2014 Pharmacy Clinical Policy Bulletins (PCPBs) for Commercial Formulary Plans
Find information about drugs on this formulary.
We also provide information about our Medicare prescription drug plans.