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Health benefits and health insurance plans contain exclusions and limitations. See all legal notices Questions about pharmacy coverage? Find answers to common questions about policies, drug costs and more.
“We now urge the DOJ and state antitrust enforcers to monitor the postmerger effects of the Aetna acquisition by CVS Health on highly concentrated markets in pharmaceutical benefit management services, health insurance, retail pharmacy and specialty pharmacy,” AMA President Barbara L. McAneny, M....
Note:See Pharmacy Clinical Policy Bulletins for: Vyleesi (bremelanotide injection) for the treatment of pre-menopausal women with acquired, generalized hypoactive sexual desire disorder (HSDD), and for Osphena (ospemiphene tablets) for severe vaginal dryness and dyspareunia due to menopause. Experim...
Footnote1*Note: Self-administered prescription medications are covered under the pharmacy benefit. Formulary restrictions may apply. Please check plan benefit description for details. Psychotherapy (if member also exhibits anxiety and/or depression) Psychotherapeutic interventions are covered under the member...
See alsoAetna Non-Medicare Prescription Drug Plan Specialty Pharmacy Clinical Policy Bulletins. Dosage and Administration For dosing recommendations, see prescribing information for individual products. Experimental, Investigational, or Unproven Aetna considers the use of IVIG and SCIG experimental, investigation...
For Statement of Medical Necessity (SMN) precertification forms, see Specialty Pharmacy Precertification. Prescriber Specialties This medication must be prescribed by or in consultation with one of the following: Rheumatoid arthritis, ankylosing spondylitis, or non-radiographic axial spondyloarthritis: ...
Footnote1*Note: Medically necessary self-administered prescription medications are usually covered under pharmacy benefit plans. Coverage of particular drugs within each class may be subjected to formulary restrictions, where applicable. Experimental, Investigational, or Unproven ...