06/17/2026

Aetna

Policy Change

Payment and Coding

Claim and Code Review Program Update
Payment Change for Certain Radiology Services

Pharmacy and Formulary

Changes to Commercial Drug Lists Begin on October 1
Important Pharmacy Updates

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Changes to commercial drug lists (found in OfficeLink below)

On July 1, 2026, we’ll update our pharmacy drug lists. These changes may include things like:

• Adding or removing specialty, brand-name and generic drugs
• Changing preferred or non-preferred drugs
• Changing prior authorization (PA), quantity limits and step therapy requirements

View changes here  Formularies and Pharmacy Clinical Policy Bulletins page.

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Helpful Links

• OfficeLink Updates June
• Provider Education Bulletin
• 2026 Aetna Pharmacy Drug Guide 
• Participating Provider Precertification List for Aetna