7/19/2012

Aetna's most current precertification list can be found on Aetna’s website.   Some recent additions to the list include:

- Ventricular Assist Devices – added effective January 1, 2012
- Hepatitis C Oral Medications – added effective September 1, 2011
            - Incivek TM  (telaprevir)
            - Victrelis TM (boceprevir)

To precertify the following drugs and medical injectables, call 1-866-503-0857 or fax the corresponding Medication Request form to 1-888-267-3277.  Forms can be located on Aetna's secure provider website, by selecting "Aetna Support Center", then "Forms Library" and "Pharmacy Forms". 

- Antiemetics:
            - Aloxi IV (palonosetron) - added effective January 1, 2012
            - Anzemet IV (dolasetron) - added effective January 1, 2012
            - Emend® IV (fosaprepitant) - added effective January 1, 2012
- Soliris® (eculizumab) - added effective January 1, 2012
- ForteoTM (teriparatide) - added effective January 1, 2012
- Yervoy (ipilimumab) – added effective August 1, 2011
- Benlysta® (belimumab) – added effective August 1, 2011
- Multiple Sclerosis medications:
            - Avonex®, Rebif® (interferon beta>1a) - added effective January 1, 2012
            - Betaseron®, Extavia® (interferon beta>1b) - added effective January 1, 2012
            - Copaxone® (glatiramer acetate injection) - added effective January 1, 2012
            - GilenyaTM (fingolimod) - added effective January 1, 2012
            - Tysabri (natalizumab) - added effective January 1, 2012
- Viscosupplementation:
            - Euflexxa® (1 percent sodium hyaluronate) - added effective January 1, 2012
            - Hyalgan®, Supartz® (sodium hyaluronate) - added effective January 1, 2012
            - Orthovisc® (High Molecular Weight Hyaluronan) - added effective January 1, 2012
            - Synvisc®, Synvisc One® (hylan G-F 20) - added effective January 1, 2012