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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 all formularies

Applying Quantity Limitations to Medication
Compounded Drug Products Coverage
Co-pay and Medical Exception for Contraceptives 
Oregon State Maternal Diabetes Co-pay Exception Coverage 

Aetna Funding Advantage Small Group Value Plus Plan

2017 Aetna Funding Advantage Small Group Value Plus Formulary
2017 CPBs Aetna Funding Advantage Small Group Value Plus
2017 Elective Benefits CPBs

2016 Aetna Funding Advantage Small Group Value Plus formulary
2016 CPBs Aetna Funding Advantage Small Group Value Plus

 

Aetna Individual plans

2017 Aetna Individual formulary
2017 CPBs Aetna Individual plans  (excluding New Jersey)
2017 CPBs Aetna Individual plans (New Jersey Only)

2016 Aetna Individual formulary
2016 CPBs Aetna Individual plans 

Aetna Leap℠ Plans

2017 Aetna Leap formulary
2017 CPBs Aetna Leap Plans

2016 Aetna Leap formulary
2016 CPBs Aetna Leap Plans

Aetna Performance Plan
Aetna Premier plans

2017 Aetna Premier formulary
2017 CPBs Aetna Premier plans
2017 Elective Benefits CPBs Aetna Premier plans

2016 Aetna Premier formulary
2016 CPBs Aetna Premier plans

Aetna Premier Plus plans

2017 Aetna Premier Plus formulary
2017 CPBs Aetna Premier Plus plans
2017 Elective Benefits CPBs Aetna Premier Plus plans

2016 Aetna Premier Plus formulary
2016 CPBs Aetna Premier Plus plans

Aetna Value plans

2017 Aetna Value formulary
2017 CPBs Aetna Value plans
2017 Elective Benefits CPBs Aetna Value plans

2016 Aetna Value formulary
2016 CPBs Aetna Value plans 

Aetna Value Small Group plans

2017 Aetna Value Small Group formulary
2017 CPBs Aetna Value Small Group plans
2017 Elective Benefits CPBs Aetna Value Small Group plans

2016 Aetna Value Small Group formulary
2016 CPBs Aetna Value Small Group plans

Aetna Value Plus plans

2017 Aetna Value Plus formulary
2017 CPBs Aetna Value Plus plans
2017 Elective Benefits CPBs Aetna Value Plus plans

2016 Aetna Value Plus formulary
2016 CPBs Aetna Value Plus plans

Aetna Value Plus Small Group plans

2017 Aetna Value Plus Small Group formulary
2017 CPBs Value Plus Small Group (excluding New Jersey)
2017 CPBs Value Plus Small Group (New Jersey Only)
2017 Elective Benefits CPBs Value Plus Small Group

2016 Aetna Value Plus Small Group formulary
2016 CPBs Value Plus Small Group

Aetna commercial self-insured plans

2017 Aetna formulary for commercial self-insured plans
2017 CPBs commercial self-insured plans
2017 Elective Benefits CPBs commercial self-insured plans

2016 Aetna formulary for commercial self-insured plans
2016 CPBs commercial self-insured plans 

Aetna commercial fully insured plans

2017 Aetna formulary for commercial fully insured plans
2017 CPBs commercial fully insured plans
2017 Elective Benefits CPBs commercial fully insured plans

2016 Aetna formulary for commercial fully insured plans
2016 CPBs 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.

Pennsylvania Medicaid CPBs

Specialty Pharmacy Criteria

Search our Specialty Pharmacy Clinical Policy Bulletins (PCPBs) for commercial formulary plans

 
 
 
 

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