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Changes to commercial drug lists begin on January 1, 2021


On January 1, we’ll update our pharmacy drug lists.  


You’ll be able to view the changes as early as November 1, 2020. They’ll be available on our Formularies & Pharmacy Clinical Policy Bulletins page.


Ways to request a drug prior authorization
 

  • Submit your completed request form through our provider website.  
  • For requests for nonspecialty drugs on Aetna Funding AdvantageSM plans, Premier, Premier Plus, Small Group ACA and Value Plus plans, call the Aetna Pharmacy Precertification Unit at 1-855-240-0535 (TTY: 711). Or fax your completed prior authorization request form to 1-877-269-9916.
  • For requests for nonspecialty drugs on the Advanced Control, Advanced Control — Aetna, Standard Opt Out, Standard Opt Out — Aetna, Standard Opt Out with ACSF and High Value formulary plans, call the Aetna Pharmacy Precertification Unit at 1-800-294-5979 (TTY: 711). Or fax your completed prior authorization request form to 1-888-836-0730.
  • For requests for drugs on the Aetna Specialty Drug List, call the Aetna Pharmacy Precertification Unit at 1-866-814-5506 (TTY: 711). Or fax your completed prior authorization request form to 1-866-249-6155.

 These changes will affect all Pharmacy Management drug lists, precertification, quantity limits and step-therapy programs. 


 For more information, call the Aetna Pharmacy Management Provider Help Line at 1-800-238-6279 (TTY: 711) (1-800-AETNA RX).