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08/18/2026

Aetna

Changes to Medical Plan Drug Lists

On October 1, 2026, we’ll update our medical plan drug lists. These changes support our commitment to high-quality, cost effective health care. Some of your patients may already be taking these drugs. If your patients have an existing authorization in place for the impacted drugs, this change won’t affect them until their current authorization’s expiration date.

You’ll be able to view the changes online as early as August 1,2026. They’ll be posted on our Precertification lists and medical preferred drug information page.

No action required for current prior authorizations (PA)

If you’re currently managing patients with a PA for a drug that moved to non-preferred status, you don’t need to initiate the PA process again. In addition, if the patient needs to remain on the current medication through the remainder of their current PA, there’s no medical exception needed.


Operational Resources

We want to support our health care providers as we work together to reach health care goals. We offer a  variety of webinars and training opportunities throughout the year to help you, and your staff stay up to date on essential responsibilities. This section includes just some of the resources. Additional tools and resources can be found on your provider manual. For more information, contact our provider service department at 1-855-676-5772 or our provider website.


Our 2026 Member Handbook is Here

Medicaid members can find up-to-date benefit information for the 2026 plan year in the new member handbook. Check our 2026 member handbook now and remind your patients.

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