Aetna policies, page 56

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] Rosacea Products ST with Limit, Post PA 1485-E 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1485-E · Commercial—Original policy ↗
[Pharmacy] Rosacea Products ST with Limit, Post PA 1485-E 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1485-E · Commercial—Original policy ↗
[Pharmacy] Rosacea Products ST with Limit, Post PA 1485-E P07-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1485-E · Commercial—Original policy ↗
[Pharmacy] Rosacea Products ST with Limit, Post PA 1485-E P07-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1485-E · Commercial—Original policy ↗
[Pharmacy] Rosacea Products ST with Limit, Post PA Policy 1485-E UDR 07-2024 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1485-E · Commercial—Original policy ↗
[Pharmacy] Rozlytrek 3165-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3165-A · Commercial—Original policy ↗
[Pharmacy] Rozlytrek 3165-A SGM P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3165-A SGM P2022a · Commercial—Original policy ↗
[Pharmacy] Rozlytrek 3165-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3165-A · Commercial—Original policy ↗
[Pharmacy] Rozlytrek SGM 3165-A P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3165-A · Commercial—Original policy ↗
[Pharmacy] Rozlytrek SGM 3165-A P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3165-A · Commercial—Original policy ↗
[Pharmacy] Rubraca 2256-A SGM P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2256-A · Commercial—Original policy ↗
[Pharmacy] Rubraca 2256-A SGM P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2256-A · Commercial—Original policy ↗
[Pharmacy] Rubraca 2256-A SGM P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2256-A · Commercial—Original policy ↗
[Pharmacy] Rubraca 2256-A SGM P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2256-A · Commercial—Original policy ↗
[Pharmacy] Rubraca 2256-A SGM P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2256-A · Commercial—Original policy ↗
[Pharmacy] Ruzurgi 3073-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3073-A · Commercial—Original policy ↗
[Pharmacy] Ruzurgi 3073-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3073-A · Commercial—Original policy ↗
[Pharmacy] Ruzurgi 3073-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3073-A · Commercial—Original policy ↗
[Pharmacy] Ruzurgi 3073-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3073-A · Commercial—Original policy ↗
[Pharmacy] Ruzurgi 3073-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3073-A · Commercial—Original policy ↗
[Pharmacy] Rydapt 1817-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1817-A · Commercial—Original policy ↗
[Pharmacy] Rydapt 1817-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1817-A · Commercial—Original policy ↗
[Pharmacy] Rydapt SGM 1817-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1817-A · Commercial—Original policy ↗
[Pharmacy] Santyl (Collagenase) PA with Limit Policy 1773-C 04-2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1773-C · Commercial—Original policy ↗
[Pharmacy] Santyl (Collagenase) PA with Limit Policy 1773-C 04-2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1773-C · Commercial—Original policy ↗
[Pharmacy] Santyl (Collagenase) PA with Limit Policy 1773-C 04-2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1773-C · Commercial—Original policy ↗
[Pharmacy] Santyl (Collagenase) PA with Limit Policy 1773-C 04-2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1773-C · Commercial—Original policy ↗
[Pharmacy] sapropterin-Javygtor-Kuvan 2012-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2012-A · Commercial—Original policy ↗
[Pharmacy] sapropterin-Javygtor-Kuvan 2012-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2012-A · Commercial—Original policy ↗
[Pharmacy] sapropterin-Javygtor-Kuvan SGM 2012-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanSGM 2012-A P2025 · Commercial—Original policy ↗
[Pharmacy] sapropterin-Javygtor-Kuvan SGM 2012-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug PlanSGM 2012-A P2025 · Commercial—Original policy ↗
[Pharmacy] sapropterin-Kuvan 2012-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2012-A · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA 2557-D P06-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA 3204-D P06-2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3204-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA 3204-D P06-2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3204-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA MF 2557-D P06-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA MF 2557-D P06-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA MF 2557-D P06-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA Policy 2557-D 07-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA Policy 2557-D 07-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA Policy 2557-D 07-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA Policy 2557-D 07-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2557-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA Policy 3204-D 07-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3204-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA Policy 3204-D 07-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3204-D · Commercial—Original policy ↗
[Pharmacy] Savella ST, Post PA Policy 3204-D 07-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3204-D · Commercial—Original policy ↗
[Pharmacy] Saxenda PA Policy 1227-A 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1227-A · Commercial—Original policy ↗
[Pharmacy] Saxenda PA Policy 1227-A 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1227-A · Commercial—Original policy ↗
[Pharmacy] Saxenda PA with Limit 1227-C P08-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1227-C · Commercial—Original policy ↗
[Pharmacy] Saxenda PA with Limit 1227-C P08-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1227-C · Commercial—Original policy ↗
[Pharmacy] Saxenda PA with Limit 1227-C P08-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1227-C · 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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