Aetna policies, page 86

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] Uptravi 1645-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1645-A · Commercial—Original policy ↗
[Pharmacy] Uptravi SGM 1645-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1645-A · Commercial—Original policy ↗
[Pharmacy] Valchlor 1862-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1862-A · Commercial—Original policy ↗
[Pharmacy] Valchlor 1862-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1862-A · Commercial—Original policy ↗
[Pharmacy] Valchlor 1862-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1862-A · Commercial—Original policy ↗
[Pharmacy] Valchlor 1862-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1862-A · Commercial—Original policy ↗
[Pharmacy] Valchlor SGM 1862-A P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1862-A · Commercial—Original policy ↗
[Pharmacy] Valcyte 3100-A Supplemental Specialty PA P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3100-A · Commercial—Original policy ↗
[Pharmacy] Valcyte 3100-A Supplemental Specialty PA P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3100-A · Commercial—Original policy ↗
[Pharmacy] Valcyte 3100-A Supplemental Specialty PA P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3100-A · Commercial—Original policy ↗
[Pharmacy] Valcyte 3100-A Supplemental Specialty PA P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3100-A · Commercial—Original policy ↗
[Pharmacy] valganciclovir-Valcyte Supplemental Specialty PA 3100-A P2025 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3100-A · Commercial—Original policy ↗
[Pharmacy] valganciclovir-Valcyte Supplemental Specialty PA 3100-A P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3100-A P2026 · Commercial—Original policy ↗
[Pharmacy] Valtoco Limit Policy 3518-H 06-2022 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3518-H · Commercial—Original policy ↗
[Pharmacy] Valtoco Limit Policy 3518-H 06-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3518-H · Commercial—Original policy ↗
[Pharmacy] Valtoco Limit Policy 3518-H 06-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3518-H · Commercial—Original policy ↗
[Pharmacy] Valtoco Limit Policy 3518-H 06-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan3518-H · Commercial—Original policy ↗
[Pharmacy] Vancomycin Oral Limit 2559-H P12-2024 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2559-H · Commercial—Original policy ↗
[Pharmacy] Vancomycin Oral Limit 2559-H P12-2025 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2559-H · Commercial—Original policy ↗
[Pharmacy] Vancomycin Oral Limit Policy 2559-H 12-2021 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2559-H · Commercial—Original policy ↗
[Pharmacy] Vancomycin Oral Limit Policy 2559-H 12-2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2559-H · Commercial—Original policy ↗
[Pharmacy] Vancomycin Oral Limit Policy 2559-H 12-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2559-H · Commercial—Original policy ↗
[Pharmacy] Vanflyta 6096-A SGM P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6096-A SGM P2023a · Commercial—Original policy ↗
[Pharmacy] Vanflyta 6096-A SGM P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6096-A SGM P2023a · Commercial—Original policy ↗
[Pharmacy] Vanflyta 6096-A SGM P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6096-A SGM P2023a · Commercial—Original policy ↗
[Pharmacy] Vecamyl 2992-A Supplemental Specialty PA P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2992-A · Commercial—Original policy ↗
[Pharmacy] Vecamyl 2992-A Supplemental Specialty PA P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2992-A · Commercial—Original policy ↗
[Pharmacy] Vecamyl 2992-A Supplemental Specialty PA P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2992-A · Commercial—Original policy ↗
[Pharmacy] Vecamyl 2992-A Supplemental Specialty PA P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2992-A · Commercial—Original policy ↗
[Pharmacy] Velsipity 6216-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6216-A · Commercial—Original policy ↗
[Pharmacy] Velsipity 6216-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6216-A · Commercial—Original policy ↗
[Pharmacy] Velsipity SGM 6216-A P2024a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan6216-A · Commercial—Original policy ↗
[Pharmacy] Vemlidy 2901-A Supplemental Specialty PA P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2901-A · Commercial—Original policy ↗
[Pharmacy] Vemlidy 2901-A Supplemental Specialty PA P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2901-A · Commercial—Original policy ↗
[Pharmacy] Vemlidy 2901-A Supplemental Specialty PA P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2901-A · Commercial—Original policy ↗
[Pharmacy] Vemlidy 2901-A Supplemental Specialty PA P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2901-A · Commercial—Original policy ↗
[Pharmacy] Venclexta 2374-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2374-A · Commercial—Original policy ↗
[Pharmacy] Venclexta 2374-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2374-A · Commercial—Original policy ↗
[Pharmacy] Venclexta SGM 2374-A P2024b_R - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2374-A · Commercial—Original policy ↗
[Pharmacy] Venclexta SGM 2374-A P2026 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2374-A · Commercial—Original policy ↗
[Pharmacy] Ventavis 1648-A SGM P2021 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1648-A · Commercial—Original policy ↗
[Pharmacy] Ventavis 1648-A SGM P2023 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1648-A · Commercial—Original policy ↗
[Pharmacy] Ventavis 1648-A SGM P2024 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1648-A · Commercial—Original policy ↗
[Pharmacy] Versacloz PA Policy 1099-A 10-2021 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1099-A · Commercial—Original policy ↗
[Pharmacy] Versacloz PA Policy 1099-A 10-2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1099-A · Commercial—Original policy ↗
[Pharmacy] Versacloz PA Policy 1099-A UDR 10-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1099-A · Commercial—Original policy ↗
[Pharmacy] Versacloz PA Policy 1099-A UDR 10-2023 - Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan1099-A · Commercial—Original policy ↗
[Pharmacy] Verzenio 2342-A SGM P2022 - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2342-A · Commercial—Original policy ↗
[Pharmacy] Verzenio 2342-A SGM P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2342-A · Commercial—Original policy ↗
[Pharmacy] Verzenio 2342-A SGM P2023a - Specialty Pharmacy Clinical Policy Bulletins Aetna Non-Medicare Prescription Drug Plan2342-A · 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.