Aetna policies, page 74

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 Sotyktu 5601-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5601-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Sotyktu 5601-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5601-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Spevigo 5581-H P2025a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5581-H P2025a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Spevigo 5581-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5581-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Sprycel 1722-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1722-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Sprycel 1722-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1722-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Sprycel 1722-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1722-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Sprycel 1722-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1722-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Sprycel 1722-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1722-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stelara 1738-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1738-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stelara 1738-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1738-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stelara 1738-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1738-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stelara-Wezlana 1738-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1738-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stivarga 2235-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2235-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stivarga 2235-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2235-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stivarga 2235-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2235-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stivarga 2235-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2235-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stivarga 2235-H P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2235-H P2024_R · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Stivarga 2235-H P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2235-H P2024_R · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit sunitinib-Sutent 2216-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2216-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit sunitinib-Sutent 2216-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2216-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit sunitinib-Sutent 2216-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2216-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit sunitinib-Sutent 2216-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2216-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tabrecta 3880-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3880-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tabrecta 3880-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3880-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tabrecta 3880-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3880-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tafinlar 1684-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1684-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tafinlar 1684-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1684-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tafinlar 1684-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1684-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tafinlar 1684-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1684-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tafinlar 1684-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1684-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tafinlar 1684-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1684-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tagrisso 2438-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2438-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tagrisso 2438-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2438-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tagrisso 2438-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2438-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tagrisso 2438-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2438-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Takhzyro 3042-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3042-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Takhzyro 3042-H P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3042-H P2022a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Takhzyro 3042-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3042-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Takhzyro 3042-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3042-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Takhzyro 3042-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3042-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Taltz 1739-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1739-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Taltz 1739-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1739-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Taltz 1739-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1739-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Taltz 1739-H P2024a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1739-H P2024a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Taltz 1739-H P2024a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1739-H P2024a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit tasimelteon-Hetlioz-Hetlioz LQ 2429-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2429-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit tasimelteon-Hetlioz-Hetlioz LQ 2429-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2429-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tavalisse 2561-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2561-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Tavalisse 2561-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2561-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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