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The document is a precertification request form for the injectable medication Belimumab (Benlysta®), intended for patients with active systemic lupus erythematosus. It includes sections for patient and prescriber information, insurance details, treatment history, diagnosis codes, and required clinical information to support the request. The form emphasizes the need for comprehensive documentation to facilitate the precertification process.

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

What is the phone number for Aetna prior authorization?

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 number is 1 800 624 0756?

National Medicare Dentist Line: Have a question? Call the National Medicare Dentist Line at 1-800-624-0756.

What is Aetna Specialty Pharmacy?

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.

How do I call Aetna prior authorization?

For more help understanding what you need prior authorization for, call the Member Services number on your member ID card, 1-833-570-6670 (TTY: 711). Were available between 8 AM and 8 PM, 7 days a week. Are you happy with your Aetna plan?

What is the number for 1 800 282 5366?

If youd like to get a total for the number of appeals, grievances and exceptions filed with Aetna Medicare, call us at 1-800-282-5366 (TTY: 711). Calls are answered 7 days a week, 8 AM to 8 PM.

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What is the phone number for Aetna specialty pharmacy?

The preferred products are Durolane and Synvisc-One. The preferred products do not require precertification. Multi injection products: Gelsyn-3, GenVisc, Hyalgan, Hymovis, Orthovisc, Supartz FX, TriVisc and Visco-3 are non-preferred. The preferred products are Euflexxa and Synvisc.

What is the number for 1 800 238 6279?

Call one of our Aetna pharmacy customer service professionals. You can reach them toll-free at 1-800-238-6279 (TTY: 711).

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What is the phone number for Aetna prior authorization?

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What is Aetna Specialty Pharmacy?

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What is the number for 1 800 282 5366?

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What is the phone number for Aetna specialty pharmacy?

What is the number for 1 800 238 6279?

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