Aetna policies, page 77

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 vigabatrin products 1769-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1769-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit vigabatrin-Sabril-Vigadrone-Vigpoder 1769-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1769-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vistogard 2998-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2998-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vistogard 2998-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2998-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vistogard 2998-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2998-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vistogard 2998-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2998-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vitrakvi 2800-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2800-H P2022 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vitrakvi 2800-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2800-H P2022 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vitrakvi 2800-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2800-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vitrakvi 2800-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2800-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vitrakvi 2800-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2800-H P2023 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vitrakvi 2800-H P2024_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2800-H P2024_R · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vitrakvi 2800-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2800-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vivitrol 2030-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2030-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vivitrol 2030-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2030-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vivitrol 2030-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2030-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vivitrol 2030-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2030-H P2025 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vonjo 5259-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5259-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vonjo 5259-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5259-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vonjo 5259-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5259-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vonjo 5259-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5259-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Votrient 2217-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2217-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Votrient 2217-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2217-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Votrient 2217-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2217-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Votrient 2217-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2217-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Votrient 2217-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2217-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Votrient 2217-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2217-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vowst 5923-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5923-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vowst 5923-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5923-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vowst 5923-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5923-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Voxzogo 5070-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5070-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Voxzogo 5070-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5070-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Voxzogo 5070-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5070-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Voxzogo 5070-H P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5070-H P2023a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Voxzogo 5070-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5070-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Voxzogo 5070-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan5070-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit VPRIV 1697-H P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1697-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit VPRIV 1697-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1697-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit VPRIV 1697-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1697-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit VPRIV 1697-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1697-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit VPRIV 1697-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1697-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vyndaqel-Vyndamax 3078-H P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3078-H P2022a · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vyndaqel-Vyndamax 3078-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3078-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vyndaqel-Vyndamax 3078-H P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3078-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Vyndaqel-Vyndamax 3078-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3078-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Wakix 3755-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3755-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Wakix 3755-H P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3755-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Wakix 3755-H P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3755-H P2026 · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Welireg 4900-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4900-H · Commercial—Original policy ↗
[Pharmacy] Specialty Quantity Limit Welireg 4900-H P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4900-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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