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Learn more about pharmacy PA
Or call us at [provider services phone]. We’re here for you [provider services hours].
Or call us at [provider services phone]. We’re here for you [provider services hours].

Pharmacy PA guidelines
STATE guidelines and policies
Aetna Better Health guidelines and policies
Electronic PA (ePA)
You need the right tools and technology to help our members. That’s why we’ve partnered with CoverMyMeds® and Surescripts® to provide a new way to request a pharmacy PA with our ePA program.
With ePA, you can look forward to saving time with:
Less paperwork
Fewer phone calls and faxes
Quicker determinations
Safe and secure HIPAA-compliant submitted requests
Easy upload of clinical documents

Enroll now
Getting started with ePA is free and easy. You’ll need this info to enroll:
- BIN: 610591
- GRP: [RX8834]
- PCN: ADV
You can enroll two different ways:
Other ways to request PA
If you don’t want to enroll in ePA, you can request PA:
By phone
Call us at [provider services phone].
By fax
[Check “Request forms” in the next section to find the right form. Then, fax it with any supporting documentation for a medical necessity review to [provider services fax or PA-specific fax number].
Request forms
If you don’t see the right form in the list, you can use the [uniform prescription drug PA form (PDF).] Otherwise, check for the drug class or drug name that matches your needs:
[Insert name of guideline here]
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