Hot Topics

Please click on each facility below for important network information.

Prescription Drug Quantity Limit Changes

To ensure the safety of our employees and covered family members, the medications listed below will be subject to quantity limits effective January 1, 2010. These drugs are easily misused and should only be prescribed for certain conditions and in certain amounts. The quantity limits are based on current medical findings, Food and Drug Administration-approved manufacturer labeling and cost.

^*Please note that the Quantity Limits List is subject to change.

Precertification Requirement
After January 1, 2010 a Medical Exception/Precertification Form from your doctor will be required the first time the drug is filled. This form is to confirm the diagnosis and that the quantity fits the new guidelines.

Aetna’s Precertification Department will process your precertification request within 48 hours. If approved, your medication will be covered and Aetna will let your doctor know. If denied, Aetna will notify both you and your doctor by mail.

To avoid any medication disruption the precertification requirement must be fulfilled by December 2009.

Questions
If you have any questions about a specific medication, please ask your doctor. If you have questions about your Aetna coverage, please contact Member Services at 1-800-814-3543 or go to Aetna Navigator.