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Search results with tag "Injectable medication precertification"
Prolia® (denosumab) Injectable Medication Precertification ...
www.aetna.comProlia® (denosumab) Injectable Medication Precertification Request 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 treatment: Start date
) Injectable Medication Precertification Request
www.aetna.com(denosumab) Injectable Medication Precertification Request Page 3 of 3 (All fields must be completed and legible for precertification review.) For Medicare Advantage Part B: FAX: 1-844-268-7263 PHONE: 1-866-503-0857 For other lines of business: Please use other form. Note: Xgeva is non-preferred. The preferred product is pamidronate or ...