Example: bachelor of science

Ustekinumab Specialty Medication Precertification Request

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Stelara® (ustekinumab) Specialty Medication ...

Stelara® (ustekinumab) Specialty Medication ...

www.aetna.com

Stelara® (ustekinumab) Specialty Medication Precertification Request Aetna Precertification Notification . Phone: 1-855-240-0535 . FAX: 1-877-269-9916 . IV Formulation only: Phone: 1-866-752-7021 . FAX: 1-888-267-3277 . Page 1 of 3. For Medicare Advantage Part B: Please Use Medicare Request

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Procedures, programs and drugs that require …

Procedures, programs and drugs that require

www.aetna.com

Forprecertificationofpharmacy-covered specialty drugs (notedwith *) when the member is enrolled in a commercial plan, call 1-855-240-0535. Or fax applicable request forms to 1-877-269-9916. • Providers can use the drug-specific Specialty Medication Request Form located online under “Specialty PharmacyPrecertification.” •

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