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Search results with tag "Apremilast"
Otezla® (apremilast) Medication Precertification Request
www.aetna.comOtezla® (apremilast) Medication Precertification Request Page 2 of 2 (Please complete all fields and return both pages for precertification review) Aetna Precertification Notification
Procedures, programs and drugs that require …
www.aetna.comSpecialty Medication Request Form ... For precertification of pharmacy-covered specialty drugs — Foreign Service Benefit Plan, call Express Scripts at 1-800-922-8279. ... Otezla* (apremilast) Remicade (infliximab) — precertification for the drug and site of care required