Pharmacy prior authorization

Aetna Better Health requires prior authorization for certain drugs on the formulary drug list and for all non-formulary drug requests. You may now request prior authorization of most drugs via phone by calling the Aetna Better Health Pharmacy Prior Authorization team at 1-866-212-2851. You can also print the required prior authorization form below and fax it along with supporting clinical notes to 1-855-684-5250.

Use the Non-formulary Prior Authorization request form if the drug you are requesting is not listed. Most drugs will require use of the Non-formulary Prior Authorization. Contact the Aetna Better Health Pharmacy Prior Authorization team at 1-866-212-2851 if you would like a service authorization request form faxed to you.

These are fax forms for drugs in our prior authorization program. Click on the drug name to download the prior authorization request form.