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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)

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.

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.

For more information

Consult your Provider Manual or call us at 1-855-772-9076 (TTY: 711).