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Providers

Aetna Better Health’s Formulary Drug List

The Formulary Drug List is a list of drugs chosen by Aetna Better Health and a team of doctors and pharmacists that are generally covered under the plan as long as they are medically necessary. Prescriptions must be filled at an Aetna Better Health network pharmacy, and other plan rules must be followed.

Before prescribing a medication to an Aetna Better Health patient, please review the Formulary Drug List for any restrictions or recommendations regarding prescription drugs.

You can download the formulary drug list below, or you can search the list inside the Provider Web Portal. You will need to register for Provider Web Portal if you have not already.

Pharmacy Drug List

Monthly Drug List Update

Pharmacy Provider Search

Prior Authorization for Drugs

Aetna Better Health requires prior authorization for certain drugs on the Formulary Drug List and for all non-formulary drug requests. You may now request prior authorization of most drugs via phone by calling the Aetna Better Health Pharmacy Prior Authorization team at 1-866-638-1232, or you may print the required prior authorization form and fax it along with supporting clinical notes to 1-877-309-8077.

Specialty Medications

CVS Caremark Specialty Pharmacy is a pharmacy that offers medications for a variety of conditions, such as cancer, hemophilia, immune deficiency, multiple sclerosis and rheumatoid arthritis, which are not often available at local pharmacies. Specialty medications require prior authorization before they can be filled and delivered. Providers can call 1-866-638-1232 to request prior authorization, or complete the applicable prior authorization form and fax to 1-866-207-7231.

Specialty medications can be delivered to the provider’s office, member’s home, or other location as requested.

Pharmacy Forms

Pharmacy Prior Authorization Guidelines

Non-Formulary Guideline

Incontinence Supplies

Pharmacy & Therapeutics Committee


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We need your help in preventing Fraud & Abuse. You can review your claim history in the Member Web Portal, all you have to do is create a user name and login. If there are services listed that you did not receive, please call Member Services at 1-866-638-1232.