To access clinical documentation for Aetna, please visit the Aetna site.
Exceptions Criteria
Select the starting letter of the medication or condition to find the desired exception criteria. Drug coverage is dependent on member’s formulary.
A
B
C
E
F
H
J
K
M
N
O
P
S
U
V
W
X
Y
Z
State-Specific Criteria
- Antiobesity Agents (Quantity Limit) (Specific States)
- Global Post Step Therapy Indiana Mandate
- Global Step Therapy State of Colorado
- Negative Formulary Change State of Indiana Mandate
- Post Step Therapy Prior Authorization Global Step Therapy Alaska, Missouri
- Post Step Therapy Prior Authorization Global Step Therapy Virginia
- States Universal Mandate Stage IV Cancer
- States Universal Mandate Step Therapy Exception
- Universal States Mandate PANDAS-PANS (IL)