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09/16/2026

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. They are 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.


Digital prior authorization (PA) can help your practice

We want to make health care easier to navigate — for you and your patients — by simplifying administrative processes and strengthening our partnership with your practice.

A core priority is to move PA fully into Electronic Health Record (EHR) workflows. This shift is designed to reduce manual steps, accelerate decision-making and help you deliver timely care to your patients.

Read about how digital PA can help your practice (PDF)


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