Aetna policies, page 70

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 Nubeqa 3148-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3148-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nucala 2467-H P2021b - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2467-H P2021b · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nucala 2467-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2467-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nucala 2467-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2467-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nucala 2467-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2467-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nuplazid 4802-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4802-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nuplazid 4802-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4802-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nuplazid 4802-H P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4802-H P2024_R · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Nuplazid 4802-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4802-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ocaliva 2298-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2298-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ocaliva 2298-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2298-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ocaliva 2298-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2298-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ocaliva 2298-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2298-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit octreotide products 1709-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1709-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit octreotide products 1709-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1709-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit octreotide products 1709-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1709-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit octreotide products 1709-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1709-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit octreotide products 1709-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1709-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Odomzo 1867-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1867-H P2022 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Odomzo 1867-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1867-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Odomzo 1867-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1867-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Odomzo 1867-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1867-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Odomzo 1867-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1867-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ofev 3211-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3211-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ofev 3211-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3211-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ofev 3211-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3211-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ofev 3211-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3211-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ofev 3211-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3211-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Ojjaara 6175-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6175-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Olumiant 2602-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2602-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Olumiant 2602-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2602-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Olumiant 2602-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2602-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Olumiant 2602-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2602-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Olumiant 2602-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2602-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Omvoh 6243-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6243-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Omvoh 6243-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6243-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Omvoh 6243-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6243-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Onureg 4195-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4195-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Onureg 4195-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4195-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orencia 1977-H P2021a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1977-H P2021a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orencia 1977-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1977-H P2022 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orencia 1977-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1977-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orencia 1977-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1977-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orencia 1977-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1977-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orencia 1977-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1977-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orgovyx 4412-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4412-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orgovyx 4412-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4412-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orgovyx 4412-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4412-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orgovyx 4412-H P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4412-H P2024_R · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Orgovyx 4412-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4412-H · 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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