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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 (except the Aetna Standard Plan)

Aetna Funding Advantage Small Group Value Plus Plan

Aetna Performance Plan

Aetna Premier plans

Aetna Premier Plus plans

Aetna Small Group ACA plans

Aetna Standard Plan

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.

Pennsylvania Medicaid CPBs

Specialty Pharmacy Criteria

Search our Specialty Pharmacy Clinical Policy Bulletins (PCPBs) for commercial formulary plans, except the Aetna Standard Plan. Aetna Standard Plan CPBs are available by calling the number on the member’s ID card.


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