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The document is a precertification request form for Lucentis® (ranibizumab) injectable medication, detailing the necessary patient, insurance, prescriber, and clinical information required for approval. It includes sections for treatment history, diagnosis codes, and confirmation of previous treatments. The form emphasizes the importance of providing accurate information to avoid fraudulent claims.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I contact Aetna pharmacy?

Call one of our Aetna pharmacy customer service professionals. You can reach them toll-free at 1-800-238-6279 (TTY: 711). Our customer service professionals are available 24 hours a day, every day.

How do I submit precertification to Aetna?

Please submit your request electronically through Availity at .availity.com or call 888-632-3862 or 1-800-624-0756 to initiate precertification.

What phone number is 855 427 4682?

We also offer in-home medication infusion support through Optum Infusion Pharmacy. For more information, visit specialty.optumrx.com or call 1-855-427-4682. Offering health care solutions to our plan members since 1996.

What is the phone number for Aetna specialty pharmacy?

In the event you need your medication the next day, please call 1-866-782-ASRX (1- 866-782-2779) or TDD: 1-877-833-ASRX (1-877-833-2779) and speak with an Aetna Specialty Pharmacy representative.

What is the phone number for Aetna CVS specialty pharmacy?

Call us at 1-800-237-2767.

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Who is Aetna Insurance Specialty Pharmacy?

Aetna Specialty Pharmacy refers to Aetna Specialty Pharmacy LLC, a subsidiary of Aetna Inc., which is a licensed pharmacy that operates through specialty pharmacy prescription fulfillment. Burmans Apothecary For members in Connecticut, Delaware, Indiana, New Jersey, Pennsylvania and South Carolina.

What is the number for 1 800 624 0756?

Were here to help you and your Aetna Medicare Advantage plan patients. Call us at 1-800-624-0756 (TTY: 711), Monday through Friday, 8 a.m. to 5 p.m., Local time.

What is the phone number for Aetna prior authorization?

If entered correctly, please call the appropriate number below and select the option for precertification: 1-888-MD AETNA (1-888-632-3862) (TTY: 711) for calls related to indemnity and PPO-based benefits plans. 1-800-624-0756 (TTY: 711) for calls related to HMO- based benefits plans.

866 752 7021-2025

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