Search results with tag "Injectable medication"
Remicade® (infliximab) Injectable Medication ...
www.aetna.comRemicade® (infliximab) Injectable Medication Precertification Request Aetna Precertification Notification . Phone: 1-866-752-7021 . FAX: 1-888-267-3277 . Page 1 of 8. For Medicare Advantage Part B: (All fields must be completed and legible for precertification review.) Please Use Medicare Request Form . Please indicate: Start of treatment ...
Botox® (onabotulinumtoxinA) Injectable Medication ... - …
www.aetna.comBotox® (onabotulinumtoxinA) Injectable Medication Precertification Request Page 1 of 2 Aetna Precertification Notification . Phone: 1-866-752-7021. FAX: 1-888-267-3277 . For Medicare Advantage Part B: (All fields must be completed and legible for Precertification Review) Please Use Medicare Request Form . Please indicate: Start of treatment ...
Keytruda® (pembrolizumab) Injectable Medication ...
www.aetna.comKeytruda® (pembrolizumab) Injectable Medication Precertification Request Page 1 of 9 Aetna Precertification Notification . Phone: 1-866-752-7021. FAX: 1-888-267-3277. For Medicare Advantage Part B: Phone: 1-866-503-0857. FAX: 1-844-268-7263 (All fields must be completed and legible for precertification review.) Please indicate: Start of ...
Prolia, Xgeva (denosumab) Injectable Medication ...
www.aetna.comProlia®, Xgeva®(denosumab) Injectable Medication Precertification Request Aetna Precertification Notification 503 Sunport Lane, Orlando, FL 32809 . Phone: 1-866-752-7021 . FAX: 1-888-267-3277 . For Medicare Advantage Part B: Phone: 1-866-503-0857 . FAX: 1-844-268-7263 (All fields must be completed and legible for precertification review)
Eylea® (aflibercept) Injectable Medication ... - Aetna
www.aetna.comEylea® (aflibercept) Injectable Medication Precertification Request Page 1 of 1 Aetna Precertification Notification . Phone: 1-866-752-7021. FAX: 1-888-267-3277. For Medicare Advantage Part B: (All fields must be completed and legible for Precertification Review.) Please Use Medicare Request Form . Please indicate: Start of treatment, start ...
Soliris® (eculizumab) Injectable Medication ... - Aetna
www.aetna.comSoliris® (eculizumab) Injectable Medication Precertification Request Aetna Precertification Notification. 503 Sunport Lane, Orlando, FL 32809. Phone: 1-866-503-0857 . FAX: 1-888-267-3277
Opdivo® (nivolumab) Injectable Medication …
www.aetna.comWill Opdivo (nivolumab) be used as a single agent? Please select the clinical setting in which Opdivo (nivolumab) will be used: Unresectable disease . Recurrent disease . Metastatic disease . Other . What is the place in therapy in which the requested drug will be used? First-line treatment . Subsequent treatment . Extranodal NK/T-cell lymphoma ...
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Infliximab, Injectable Medication, Injectable Medication Precertification Request Aetna Precertification, Precertification, Request, OnabotulinumtoxinA) Injectable Medication Precertification Request, Aetna Precertification, Aetna, Prolia, Xgeva (denosumab) Injectable Medication, Prolia®, Xgeva®(denosumab) Injectable Medication Precertification Request Aetna Precertification, Aflibercept, Injectable Medication Precertification Request, Opdivo, Nivolumab) Injectable Medication