Pharmacy prior authorization

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 1-866-212-2851. You can also print the required prior authorization form below and fax it along with supporting clinical notes to 1-855-684-5250.

Use the Non-formulary Prior Authorization request form if the drug you are requesting is not listed. Most drugs will require use of the Non-formulary Prior Authorization. Contact the Aetna Better Health Pharmacy Prior Authorization team at 1-866-212-2851 if you would like a service authorization request form faxed to you.

These are fax forms for drugs in our prior authorization program. Click on the drug name to download the prior authorization request form.

Pharmacy prior authorization forms