Preauthorization or precertification* This is an important process. It is approval a person gets for care before receiving the care. This helps people know if the care is covered by a health plan. People should check with their plan to see what kind of service needs this approval. This can...
Potentially precertified companies could market their lower-risk devices without the FDA's premarket review or only a streamlined premarket review based on the company's precertification level and International Medical Device Regulators Forum (IMDRF) risk categorization." "Streamlined Review: Identifying t...
Note: Requires Precertification: Precertification of octreotide acetate (Sandostatin, Sandostatin LAR Depot), lanreotide (Somatuline or generic), pasireotide diaspartate (Signifor), and pasireotide pamoate (Signifor LAR) is required of all Aetna participating providers and members in applicable plan designs...
Note: For Statement of Medical Necessity (SMN) precertification forms, see Specialty Pharmacy Precertification. Medical Necessity Aetna considers the following medically necessary for members with diabetes: Diabetes Self-Care Programs Outpatient medical self-care programs when such programs meet the follow...