Aetna policies, page 27

Search Aetna's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

5,481 public policies Substrate tracks for Aetna, by title.

Aetna policies
PolicyDetailsCodesSource
[Pharmacy] Dofetilide-Tikosyn 1873-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1873-A · Commercial—Original policy ↗
[Pharmacy] Dofetilide-Tikosyn 1873-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1873-A · Commercial—Original policy ↗
[Pharmacy] dofetilide-Tikosyn 1873-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1873-A · Commercial—Original policy ↗
[Pharmacy] Doptelet 3081-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3081-A · Commercial—Original policy ↗
[Pharmacy] Doptelet 3081-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3081-A · Commercial—Original policy ↗
[Pharmacy] Doptelet 3081-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3081-A · Commercial—Original policy ↗
[Pharmacy] Doptelet 3081-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3081-A · Commercial—Original policy ↗
[Pharmacy] Doptelet 3081-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3081-A · Commercial—Original policy ↗
[Pharmacy] Doptelet 3081-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3081-A · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors PA Policy 673-A UDR 05-2023 v2 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan673-A · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors PA Policy 673-A UDR 05-2023 v2 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan673-A · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors PA Policy 673-A UDR 05-2023 v2 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan673-A · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors PA Policy 673-A UDR 05-2023 v2 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan673-A · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors ST, Post PA 1009-D P05-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1009-D · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors ST, Post PA 1009-D P05-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1009-D · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors ST, Post PA Policy 1009-D 08-2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1009-D · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors ST, Post PA Policy 1009-D UDR 05-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1009-D · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors ST, Post PA Policy 1009-D UDR 05-2023 v2 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1009-D · Commercial—Original policy ↗
[Pharmacy] DPP-4 Inhibitors ST, Post PA Policy 1009-D UDR 05-2024 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1009-D · Commercial—Original policy ↗
[Pharmacy] Dronabinol Limit 137-H P01-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan137-H · Commercial—Original policy ↗
[Pharmacy] Dronabinol Limit 137-H Policy 02-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan137-H · Commercial—Original policy ↗
[Pharmacy] Dronabinol Limit Policy 137-H 01-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan137-H · Commercial—Original policy ↗
[Pharmacy] Dronabinol Limit Policy 137-H 01-2024 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan137-H · Commercial—Original policy ↗
[Pharmacy] Dronabinol PA with Limit 392-C P01-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan392-C P01-2025 · Commercial—Original policy ↗
[Pharmacy] Dronabinol PA with Limit Policy 392-C 01-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan392-C · Commercial—Original policy ↗
[Pharmacy] Dronabinol PA with Limit Policy 392-C 02-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan392-C · Commercial—Original policy ↗
[Pharmacy] Dronabinol PA with Limit Policy 392-C UDR 01-2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan392-C · Commercial—Original policy ↗
[Pharmacy] Dronabinol Post Limit PA 138-J P01-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan138-J P01-2025 · Commercial—Original policy ↗
[Pharmacy] Dronabinol Post Limit PA 138-J P01-2026 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan138-J · Commercial—Original policy ↗
[Pharmacy] Dronabinol Post Limit PA Policy 138-J 01-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan138-J · Commercial—Original policy ↗
[Pharmacy] Dronabinol Post Limit PA Policy 138-J 02-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan138-J · Commercial—Original policy ↗
[Pharmacy] droxidopa-Northera 2020-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanP2022 · Commercial—Original policy ↗
[Pharmacy] droxidopa-Northera 2020-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanP2022 · Commercial—Original policy ↗
[Pharmacy] droxidopa-Northera 2020-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanP2023 · Commercial—Original policy ↗
[Pharmacy] droxidopa-Northera 2020-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanP2023 · Commercial—Original policy ↗
[Pharmacy] droxidopa-Northera 2020-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanP2023 · Commercial—Original policy ↗
[Pharmacy] droxidopa-Northera SGM 2020-A P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanP2026 · Commercial—Original policy ↗
[Pharmacy] Dry Eye Disease Agents PA with Limit 1955-C P11-2024 v3 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1955-C · Commercial—Original policy ↗
[Pharmacy] Duopa 3029-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3029-A · Commercial—Original policy ↗
[Pharmacy] Duopa 3029-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3029-A · Commercial—Original policy ↗
[Pharmacy] Duopa 3029-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3029-A · Commercial—Original policy ↗
[Pharmacy] Duopa SGM 3029-A P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3029-A P2024_R · Commercial—Original policy ↗
[Pharmacy] Duopa SGM 3029-A P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3029-A P2024_R · Commercial—Original policy ↗
[Pharmacy] Dupixent 1690-A SGM P2022c - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1690-A · Commercial—Original policy ↗
[Pharmacy] Dupixent 1690-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1690-A · Commercial—Original policy ↗
[Pharmacy] Dupixent 1690-A SGM P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1690-A · Commercial—Original policy ↗
[Pharmacy] Dupixent 1743-A Enhanced SGM P2022c - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1743-A · Commercial—Original policy ↗
[Pharmacy] Dupixent 1743-A Enhanced SGM P2022c - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1743-A · Commercial—Original policy ↗
[Pharmacy] Dupixent 1743-A Enhanced SGM P2022c - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1743-A · Commercial—Original policy ↗
[Pharmacy] Dupixent 1743-A Enhanced SGM P2022c - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1743-A · Commercial—Original policy ↗

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Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

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