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Frequently Asked Questions

What drugs are covered by Aetna?

Aetna covers substance abuse treatment received in an outpatient setting in a hospital, psychiatric hospital or residential treatment facility. This plan also covers partial hospitalization services that involve intermediate short-term or medically directed intensive treatment of alcohol and drug abuse.

What are Tier 4 prescription drugs?

Tier 4 or Tier IV, also called specialty drugs: These are usually newly approved pharmaceutical drugs that your payer wants to discourage because of their expense. Tier IV is a newer designation, first used in 2009.

What is Aetna pharmacy?

Aetna Specialty Pharmacy refers to Aetna Specialty Pharmacy, LLC, a subsidiary of Aetna Inc., which is a licensed pharmacy that operates through specialty pharmacy prescription fulfillment. The drugs on the Preferred Drug List Formulary Exclusions, Precertification,...


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