Aetna policies, page 84

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] Tibsovo 2635-A SGM P2022a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2635-A · Commercial—Original policy ↗
[Pharmacy] Tibsovo 2635-A SGM P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2635-A · Commercial—Original policy ↗
[Pharmacy] Tibsovo 2635-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2635-A · Commercial—Original policy ↗
[Pharmacy] Tibsovo SGM 2635-A P2024a_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2635-A · Commercial—Original policy ↗
[Pharmacy] tiopronin products 2991-A SGM P2024b - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2991-A SGM P2024b · Commercial—Original policy ↗
[Pharmacy] tiopronin products 2991-A SGM P2024b - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2991-A SGM P2024b · Commercial—Original policy ↗
[Pharmacy] tiopronin products 2991-A SGM P2024b - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2991-A SGM P2024b · Commercial—Original policy ↗
[Pharmacy] tiopronin-Thiola 2991-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2991-A · Commercial—Original policy ↗
[Pharmacy] Tobramycin Inhalation 1887-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1887-A SGM P2022 · Commercial—Original policy ↗
[Pharmacy] Tobramycin Inhalation 1887-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1887-A · Commercial—Original policy ↗
[Pharmacy] Tobramycin Inhalation 1887-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1887-A · Commercial—Original policy ↗
[Pharmacy] Tobramycin Inhalation SGM 1887-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1887-A · Commercial—Original policy ↗
[Pharmacy] Tobramycin Inhalation SGM 1887-A P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1887-A P2026 · Commercial—Original policy ↗
[Pharmacy] tolvaptan-Jynarque SGM 2572-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2572-A · Commercial—Original policy ↗
[Pharmacy] tolvaptan-Samsca 2181-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2181-A · Commercial—Original policy ↗
[Pharmacy] tolvaptan-Samsca 2181-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2181-A · Commercial—Original policy ↗
[Pharmacy] tolvaptan-Samsca 2181-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2181-A · Commercial—Original policy ↗
[Pharmacy] tolvaptan-Samsca SGM 2181-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2181-A · Commercial—Original policy ↗
[Pharmacy] Tremfya 2156-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2156-A · Commercial—Original policy ↗
[Pharmacy] Tremfya 2156-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2156-A · Commercial—Original policy ↗
[Pharmacy] Tremfya 2156-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2156-A · Commercial—Original policy ↗
[Pharmacy] Tremfya SGM 2156-A P2024a_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2156-A · Commercial—Original policy ↗
[Pharmacy] Tremfya SGM 2156-A P2025b - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2156-A · Commercial—Original policy ↗
[Pharmacy] Tremfya SGM 2156-A P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2156-A · Commercial—Original policy ↗
[Pharmacy] treprostinil-Remodulin 1644-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1644-A · Commercial—Original policy ↗
[Pharmacy] treprostinil-Remodulin 1644-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1644-A · Commercial—Original policy ↗
[Pharmacy] treprostinil-Remodulin 1644-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1644-A · Commercial—Original policy ↗
[Pharmacy] treprostinil-Remodulin SGM 1644-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1644-A · Commercial—Original policy ↗
[Pharmacy] Tresiba ST, Post PA (Aetna SG ACA, IVL Only) 4773-D 08-2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4773-D · Commercial—Original policy ↗
[Pharmacy] Tresiba ST, Post PA (Aetna SG ACA, IVL Only) Policy 4773-D UDR 05-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4773-D · Commercial—Original policy ↗
[Pharmacy] Tresiba ST, Post PA (Aetna SG ACA, IVL Only) Policy 4773-D UDR 05-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4773-D · Commercial—Original policy ↗
[Pharmacy] Tresiba ST, Post PA (Aetna SG ACA, IVL Only) Policy 4773-D UDR 05-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan4773-D · Commercial—Original policy ↗
[Pharmacy] Tretinoins (Topical) PA 237-A, 355-A P08-2025 v2 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan237-A, 355-A · Commercial—Original policy ↗
[Pharmacy] Tretinoins (Topical) PA 355-A, 237-A P08-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan355-A, 237-A · Commercial—Original policy ↗
[Pharmacy] Tretinoins (Topical) PA 355-A, 237-A P08-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan355-A, 237-A · Commercial—Original policy ↗
[Pharmacy] Tretinoins (Topical) PA Policy 355-A, 237-A 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan355-A, 237-A · Commercial—Original policy ↗
[Pharmacy] Tretinoins (Topical) PA Policy 355-A, 237-A 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan355-A, 237-A · Commercial—Original policy ↗
[Pharmacy] Tretinoins (Topical) PA Policy 355-A, 237-A 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan355-A, 237-A · Commercial—Original policy ↗
[Pharmacy] Tretinoins (Topical) PA Policy 355-A, 237-A 08-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan355-A, 237-A · Commercial—Original policy ↗
[Pharmacy] Tretten 2985-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2985-A · Commercial—Original policy ↗
[Pharmacy] Tretten 2985-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2985-A · Commercial—Original policy ↗
[Pharmacy] Tretten 2985-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2985-A · Commercial—Original policy ↗
[Pharmacy] Tretten SGM 2985-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2985-A · Commercial—Original policy ↗
[Pharmacy] Treximet ST, Post PA 3020-D 07-2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3020-D · Commercial—Original policy ↗
[Pharmacy] Treximet ST, Post PA 3020-D P06-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3020-D · Commercial—Original policy ↗
[Pharmacy] Treximet ST, Post PA 3020-D P06-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3020-D · Commercial—Original policy ↗
[Pharmacy] Treximet ST, Post PA 3020-D P06-2024_R - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3020-D · Commercial—Original policy ↗
[Pharmacy] Treximet ST, Post PA Policy 3020-D UDR 06-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3020-D · Commercial—Original policy ↗
[Pharmacy] Treximet ST, Post PA Policy 3020-D UDR 06-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3020-D · Commercial—Original policy ↗
[Pharmacy] Treximet ST, Post PA Policy 3020-D UDR 06-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3020-D · Commercial—Original policy ↗

Back to Aetna · Aetna prior authorization CPT list

Disclaimer

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.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.