Aetna policies
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.
Checking prior authorization for J9301? Open Aetna’s official lists and confirm the member’s product there.
6 policies name J9301, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| 1036-Glofitamab-gxbm (Columvi) | 1036 · Commercial | 10 | Original policy ↗ |
| 0875-Bendamustine Products | 0875 · Commercial | 34 | Original policy ↗ |
| 0904-Daratumumab (Darzalex) and Daratumumab and Hyaluronidase-fihj (Darzalex Faspro) | 0904 · Commercial | 39 | Original policy ↗ |
| Atezolizumab (Tecentriq) and Atezolizumab and Hyaluronidase-tqjs (Tecentriq Hybreza) | 0909 · Commercial | 46 | Original policy ↗ |
| 0877-Obinutuzumab (Gazyva) | 0877 · Commercial | 52 | Original policy ↗ |
| Participating provider precertification list for Aetna® | Effective Jan 1, 2026 · Commercial | 1,440 | Original policy ↗ |