Pharmacy prior authorization

When a medication isn't listed on our preferred drug list, or has a utilization management requirement, you need to request a pharmacy prior authorization. Take a minute to review our current guidelines.

Pharmacy prior authorization guidelines

Electronic prior authorization (ePA)

At Aetna Better Health^® of Illinois, we make sure that you have all the right tools and technology to help our members. That’s why we’ve partnered with CoverMyMeds^® and Surescripts to provide you with a new way to request a pharmacy prior authorization with our ePA program.

With ePA, you can look forward to saving time with:

Less prior authorization paperwork, phone calls and faxes
Quicker determinations

Safe and secure HIPAA-compliant submitted requests

Enroll now

Billing information: BIN: 610591
PCN: ADV
Group: RX881A

Getting started is free and easy. There are two different ways you can enroll.

1. CoverMyMeds

You can enroll with CoverMyMeds^® online. Or give them a call at 1-866-452-5017.

2. Surescripts

You can enroll with Surescripts online. Or give them a call at 1-866-797-3239.

Other ways to request pharmacy prior authorization

If you don’t want to enroll in ePA, here are the ways you can request a prior authorization:

By phone

You can request prior authorization by calling us at 1-866-329-4701 (TTY: 711).

By fax

Check "Request forms" below to find the right form. Then, fax it with any supporting documentation for a medical necessity review to 1-844-802-1412.