Aetna specialty pharmacy

Aetna specialty pharmacy. , 151 Farmington Avenue, Hartford, CT 06156. 2023 Aetna Specialty Drug List (10/23)-How to use this guide You may fill these drugs at an in-network specialty pharmacy. availity. Or, based on your plan, you can use a retail pharmacy. This page outlines the Site of Care for Specialty Drug Administration policy and the medications to which this policy applies. Find retail, specialty and mail-order pharmacy options and compare to get the best value. Aetna prescription plans cover thousands of drugs. Specialty Medication Precertification Request Author: Aetna Subject: Specialty Medication Precertification Request Keywords: Specialty Medication Precertification Request Created Date: 1/13/2020 11:25:26 AM • Aetna National: FL, GA & VA (If you purchased a plan from Aetna) Pharmacy information contained in this directory is updated 5 days per week, excluding Aetna Specialty Documents and Forms Find the documents and forms you need to request specialty medications. Learn more about using Aetna's specialty pharmacy - Aetna Specialty Pharmacy. Once there is a plan for infertility treatment using ovulation induction with injectable fertility medications, artificial insemination, or assisted reproductive technology (ART), your provider will submit precertification to the National Infertility Unit (NIU) using the online Provider Portal: www. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Learn about specialty medication services. Aetna specialty institutes ; The network specialty pharmacy can dispense these drugs quickly and at a reasonable cost. Fax: 610-545-6030 Caremark Specialty Pharmacy network specialty pharmacy, like Aetna Specialty Pharmacy. It provides the criteria used to determine the medical necessity of hospital outpatient administration as the site of service for identified specialty medications (See Site of Care for Specialty Drug Infusion/Injection applicable drug therapy below. Specialty Pharmacy . Health benefits and health insurance plans contain exclusions and limitations. Optum Specialty Pharmacy helps manage treatments for inflammatory conditions Pharmacy Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. See all legal notices Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Some conditions that need specialty medications include: Cancer; Hemophilia; Immune deficiency; Multiple sclerosis Specialty medications. We provide one on one clinical support as well as education and personalized care. For Statement of Medical Necessity (SMN) precertification forms, see Specialty Pharmacy Precertification. Members can call 1-800-237-2767 (TTY: 711) with questions. A specialty pharmacy like Optum Specialty Pharmacy does more than fill prescriptions like a regular retail pharmacy. m. They can also fill their specialty medication through CVS Specialty® pharmacy. Aetna Specialty Pharmacy dispenses and delivers specialty medications for patients with complex conditions like multiple sclerosis, cancer, rheumatoid arthritis or hemophilia. BioMatrix Specialty Pharmacy. Additionally, non-formulary and specialty drugs are not eligible for tier exceptions. Note: The prescription home delivery services provided by other pharmacies are not covered by your plan’s mail order benefit. You do not pay extra for access to this service or for standard shipping. *Specialty delivery options are available where allowed by law. It may be expensive and have side effects. Note: Site of Care Utilization Management Policy applies for nivolumab (Opdivo) and nivolumab and relatlimab-rmbw (Opdualag). CVS Caremark® Mail Service Pharmacy, CVS Specialty® and Aetna® are part of the CVS Health® family of companies. Just call 1-800-237-2767 (TTY: 711). Jun 28, 2024 · These mail order services are included with your pharmacy benefits and insurance. Phone: 1-724-978-0110. Sep 1, 2013 · 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. Aetna is part of CVS Caremark® Mail Service Pharmacy, CVS Specialty® and Aetna® are part of the CVS Health® family of companies. Precertification review for Mavenclad is handled by Aetna Pharmacy Management Precertification at 1-855-240-0535 or fax applicable request forms to 1-877-269-9916. Abatacept (Orencia ®) Precertification Request Form (PDF, 307 KB) Adalimumab (Humira ®) Precertification Request Form (PDF, 651 KB) Alefacept (Amevive ®) Precertification Request Form (PDF, 317 KB) Pharmacy Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. It’s never been this easy to keep up with your specialty medication orders. Specialty medications require service authorization before they can be filled and delivered. For specialty medications, visit Banner Specialty Pharmacy. Or, you or your doctor may mail your prescription order to: Aetna Specialty Pharmacy, 503 Sunport Lane, Orlando, FL 32809. Why use a specialty pharmacy? If you’re taking a specialty medicine, you know there can be challenges. Easy and fast enrollment. CVS Caremark ® Mail Service Pharmacy and Aetna are part of the CVS Health family of companies. Aetna Specialty Pharmacy provides specialty medications and extra help for members with certain health conditions. In Maryland, by Aetna Health Inc. With more than 40 years of experience, CVS Specialty provides quality care and Email us or call an Aetna representative at (Insert primary group phone here) (TTY: 711), ${nonAepHours} We speak your language We have free interpreter services to answer questions you may have about our health or drug plan. Phone: 610-545-6040. Look up your plan documents for specialty Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Get more information for Aetna Specialty Pharmacy in Raleigh, NC. Mail Order. PA and UM requirements as well as Tier Exception requirements, if applicable. Aetna Specialty Pharmacy is specialty pharmacy that is a subsidiary of Aetna. com, or by contacting NIU at phone number: 1-800-575-5999. , which is a licensed pharmacy that operates through specialty prescription fulfillment. Physician’s Office . Our goal is to help make your life better. To order prescription medications through the network specialty pharmacy: e-Prescribe NCPDP ID 1466033 (Only your doctor can use this option. Accuserv Pharmacy. Products are dispensed by CVS Specialty and certain services are only accessed by calling CVS Specialty directly. At Optum Specialty Pharmacy, we are with you every step of the way. You can also fill your specialty medication through CVS Specialty® pharmacy. Exception: Requests for drugs administered by a healthcare professional that will be billed to the medical plan, call 1-866-752-7021 or fax applicable request forms to 1-888-267-3277 Aetna pharmacy services can help you find prescription drug information, generic drug options, order online and more. To find a list of commonly covered drugs, you’ll need the pharmacy plan name. See reviews, map, get the address, and find directions. Complete orders received before 3 p. Retail Pharmacy. and Aetna Life Insurance Company. PCFX . Aetna offers a network specialty pharmacy for prescriptions of specialty drugs that require special handling and delivery. For urgent requests, please call: 1-800-414-2386. Ordering your prescription medications through Aetna Specialty Pharmacy is fast and easy. Choosing Aetna Specialty Pharmacy opens the door to many valuable benefits for you and your caregivers. ) Pharmacy Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. RETAIL PHARMACY Retail pharmacies typically fill prescriptions for 30-day supplies, or less. These drugs treat chronic conditions, such as multiple sclerosis, rheumatoid arthritis and cancer. Banner Family Pharmacy Specialty Pharmacy Network Banner Family Pharmacy – Specialty support services Let us help you get the specialty medicineyou need The Banner|Aetna joint venture offers a quality solution for all your specialty pharmacy needs. Learn how to order, refill and get extra support from this pharmacy. Baystate Specialty Pharmacy • For members in Connecticut, Massachusetts, New Hampshire and Rhode Island. Not sure of the plan name? If you’re an Aetna member: You can find your pharmacy plan name in your Summary of Benefits and Coverage (SBC Botox® (onabotulinumtoxinA) Injectable Medication - Aetna Specialty Pharmacy Drug List Providing one of the broadest offerings of specialty pharmaceuticals in the industry The Specialty Pharmacy Drug List is a guide of medications available and distributed through CVS Specialty®. Fax your referral to Aetna Specialty Pharmacy at 1-866-FAX-ASRX (1-866-329-2779). Here’s a list of preferred specialty pharmacies that you can get your specialty medications from. Aetna Specialty Pharmacy offers specialty medications and ongoing support for members with certain high-cost, high-risk chronic health conditions. Not all pharmacies carry these medications. Aetna Specialty Pharmacy is an in-house pharmacy that fills prescription specialty medicine for complex conditions. Check drug coverage BioPlus Specialty Pharmacy . Call 1-605-322-8300. We would like to show you a description here but the site won’t allow us. For information on site of service, see Utilization Management Policy on Site of Care for Specialty Drug Infusions. Fax: 877-526-8823 Banks Apothecary. Complete an Aetna Specialty Pharmacy Medication Request Form (PDF, 1 page) for each patient. PRODUCT INFORMATION Request is for: Euflexxa (1% sodium hyaluronate) Durolane (hyaluronic acid) Gel-One (cross-linked hyaluronate) Gelsyn-3 1 day ago · Our specialty pharmacy texting program allows you to receive prescription refill reminders, medication order updates and more all via text! For some eligible prescription medications you can even order prescription refills by text. Find out the benefits, delivery options, payment options and phone numbers for each pharmacy. *Network providers are independent contractors and are neither employees nor agents of Aetna Life Insurance Company or their affiliates. Fast & easy enrollment; Medication refills; Customized shipping & delivery; Patient support programs; Tips for success The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Patient address, city, state, ZIP Not all pharmacies carry these medications, so members may need to find a specialty pharmacy. Learn how to get specialty medicines and support from Aetna Specialty Pharmacy or other network pharmacies. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Like when: There’s no network pharmacy close or open 24 hours; You need a drug that a nearby network pharmacy doesn’t often stock, like drugs for rare medical conditions; You get a Part D drug at an out-of-network provider pharmacy from: An emergency room; A provider-based 2024 Aetna Specialty Drug List 3253356-01-01 (4/24) Pharmacy benefits are administered by an affiliated pharmacy benefit manager, CVS Caremark. Aetna Rx - MEDICARE FORM - Prolia, Xgeva \(denosumab\) Injectable Medication Precertification Request Subject: Accessible PDF - Aetna Rx - MEDICARE FORM - Prolia, Xgeva \(denosumab\) Injectable Medication Precertification Request Keywords Pharmacy Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. Fax: 215-357-2129. Patient insurance ID number. As an example, you might use a retail pharmacy to fill a prescription for an acute condition, or to fill a prescription for a very small amount of medicine. Each insurer has sole financial responsibility for its own products. Your doctor may fax your prescription to 1-866-FAX-ASRX (1 (866) 329-2779). Indicate delivery arrangements on the form. 2. In-store pick up is currently not available in Oklahoma. It offers personal care plans, nurse and pharmacist support, free delivery, injection training and more. Fax completed form to: 1-800-408-2386 . This guide lists drugs by category, drug class, brand name and generic name. Do you have a prescription for a specialty medication? If yes, you can fill it at any pharmacy in our network. Phone: 1-800-927-6703. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Puerto Rico requires first-fill prescriptions to be transmitted directly to the dispensing specialty pharmacy. About this form . . This can make it hard to stay on track with your doctor’s orders. It offers 24/7 health care team, customized shipping, reimbursement assistance and more. So you may need to find a specialty pharmacy. Learn how to get started, find a medication, and check your coverage and precertification status. Patient information Patient name. Aug 7, 2024 · Check if a drug is covered by your plan, look up prices or order new CVS Pharmacy® prescriptions. Avera Specialty Pharmacy • For members in North Dakota and South Dakota, Alvera Specialty Pharmacy in Sioux Falls, South Dakota can fill your prescription for a specialty medicine. Banner Family Pharmacy is included in your network. 3. Specialty Medication Precertification Request Author: Aetna Subject: Specialty Medication Precertification Request Keywords: Specialty Medication Precertification Request Created Date: 1/13/2020 11:25:26 AM 1. Find out which specialty drugs are covered by Aetna and where to fill them. Dispensing Provider/Pharmacy: Outpatient Dialysis Center . Other: Name: Address: City: State: ZIP: Phone: Fax: TIN: PIN: NPI: E. Aetna Specialty Pharmacy refers to Aetna Specialty Pharmacy, LLC, a subsidiary of Aetna Inc. Learn more about our specialty services and Aetna Specialty Pharmacy refers to Aetna Specialty Pharmacy, LLC, a subsidiary of Aetna Inc. Aetna Specialty Precertification forms. ) Fax your prescription to 1-800-323-2445; Call us at 1-800-237-2767; Specialty pharmacy enrollment form (PDF) Learn more about our specialty pharmacy Oct 1, 2016 · There may be times when you need to use an out-of-network pharmacy. Female Infertility Injectable Medication Precertification Request . ET are scheduled for next-day delivery. The network specialty pharmacy medicine and support services is a mail-order pharmacy that dispenses specialty drugs. Effective January 1, 2020, this form replaces all other Infertility Services precertification information request documents and forms. In Utah and Wyoming, by Aetna Health of Utah Inc. 2024 Aetna Health Exchange: 2024 Banner|Aetna Individual & Family Plans and Small Group ACA Plans Drug Search Tool; 2024 Banner|Aetna Individual & Family Plans and Small Group ACA Plans Drug Guide; 2024 Banner|Aetna Small Group ACA Drug Search Tool Log in to your Aetna Health member account to access all your health and benefits information or get help with forgotten login details. lfjd zxgzx xfqbonj xjnpwuq uelpn ehy qivimuk pdgrxeim jontreie tbrdgbs