Aetna policies, page 67

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] Specialty Quantity Limit Jakafi 2284-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2284-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jakafi 2284-H P2026a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2284-H P2026a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jaypirca 5768-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5768-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jaypirca 5768-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5768-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jaypirca 5768-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5768-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Juxtapid 1779-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1779-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Juxtapid 1779-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1779-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Juxtapid 1779-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1779-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Juxtapid 1779-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1779-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jynarque 2571-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2571-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jynarque 2571-H P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2571-H P2022a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jynarque 2571-H P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2571-H P2022a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Jynarque 2571-H P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2571-H P2022a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kalbitor 3058-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3058-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kalbitor 3058-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3058-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kalbitor 3058-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3058-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kalbitor 3058-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3058-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kalbitor 3058-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3058-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kalbitor 3058-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3058-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Keveyis 2994-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2994-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Keveyis 2994-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2994-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Keveyis 2994-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2994-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Keveyis 2994-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2994-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kevzara 1953-H P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1953-H P2021 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kevzara 1953-H P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1953-H P2022a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kevzara 1953-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1953-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kevzara 1953-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1953-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kevzara 1953-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1953-H P2025 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kisqali 1652-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1652-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kisqali 1652-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1652-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kisqali Femara Co-Pack 2103-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2103-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kisqali Femara Co-Pack 2103-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2103-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kisqali Femara Co-Pack 2103-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2103-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Kisqali Femara Co-Pack 2103-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2103-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Koselugo 3772-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3772-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Koselugo 3772-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3772-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Koselugo 3772-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3772-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Koselugo 3772-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3772-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Krazati 5700-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5700-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Krazati 5700-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5700-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Krazati 5700-H P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5700-H P2024_R · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Krazati 5700-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5700-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit L-glutamine powder-Endari 2183-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2183-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit lanreotide injection-Somatuline Depot 1710-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1710-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit lanreotide injection-Somatuline Depot 1710-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1710-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit lanreotide injection-Somatuline Depot 1710-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1710-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit lanreotide injection-Somatuline Depot 1710-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1710-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit lanreotide injection-Somatuline Depot 1710-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1710-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit lapatinib-Tykerb 1903-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1903-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit lapatinib-Tykerb 1903-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1903-H · Commercial—Original policy ↗

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The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

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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