Another group or vendor provides the info on the next page. If you don’t want to leave our site, choose the “X” in the upper right corner to close this message. Or choose “Go on” to move forward.
You need the right tools and technology to help our members. That’s why we’ve partnered with CoverMyMeds® and Surescripts to provide a new way to request a pharmacy PA with our ePA program.
With ePA, you can look forward to saving time with:
Fewer phone calls and faxes
Safe and secure HIPAA-compliant submitted requests
Easy upload of clinical documents
Getting started with ePA is free and easy. You’ll just need this plan information to enroll:
If Aetna Better Health® is the member’s primary plan:
If Medicare Part B or Part D is the member’s primary plan:
If member’s primary plan is a commercial plan:
You can enroll two different ways:
Other ways to request PA
If you don’t want to enroll in ePA, you can request PA:
You can fax your request to us at 1-844-807-8453. Be sure to include all documentation needed for us to complete the medical necessity review.
PA request forms
Preferred drug list (PDL): To see which preferred drugs need PA, just use this Clinical Prior Authorization Index (PDF). From there, you can find more information about the medication, including clinical criteria and individual PA request forms.
Non-preferred drug list: To see which non-preferred drugs need PA, just use this preferred and non-preferred drug list (PDF). You can also learn more about clinical criteria (PDF) or find the non-preferred PDL PA request form (PDF).
CoverMyMeds is a registered trademark of CoverMyMeds LLC.