Producer Information
Producer InformationProducer Tools
Producer ToolsRequest a Quote Today!
Request a Quote Today!Log in to Producer World.
Join Our Network
Join Our NetworkAre you interested in becoming a participating provider with Banner|Aetna?
If you have any other questions, please send us an e-mail.
Medical Professionals Log In
Medical Professionals Log InLog in to Banner|Aetna’s provider website on Availity.
Virtual Care through 98point6 by Transcarent
Virtual Care through 98point6 by TranscarentGet 24/7/365 text-based primary care
Type 2 Diabetes Reversal Program through Virta Health
Type 2 Diabetes Reversal Program through Virta HealthGet help reversing Type 2 diabetes
2020 Drug Coverage
Aetna Standard Plan
- Brand and generic drugs chosen for their quality and effectiveness
- Specialty drugs and services through Aetna Specialty Pharmacy®
- With personal support and programs that help improve your health
- Maintenance drugs sent to your door through CVS Caremark® Mail Service Pharmacy
- For chronic conditions like arthritis, diabetes or asthma that require regular treatment
We list only the most common drugs covered under your plan. To check coverage and copay information for a specific medicine log in to your secure member website after your effective date.
Aetna Standard Plan drug guide
Aetna Standard Plan - Preferred specialty drugs and formulary excluded specialty drugs
Aetna Standard Plan - Excluded drugs, with covered alternatives
The drugs on this list are not covered under your plan. There are similar products with the same active ingredients that are covered. The list shows you the non-covered drugs and the similar covered ones.
2020 - Other drug lists
2020 - Other drug lists
Exclusions Drug List
- The drugs on this list are not covered under your plan. There are similar products with the same active ingredients that are covered. The list shows you the non-covered drugs and the similar covered ones.
Preventive drugs and products
- Under health care reform, you can get some drugs and products with no member cost share. This means they are covered 100 percent by your plan. This list shows some common examples.
Medical exceptions for non-covered drugs
Medical exceptions for non-covered drugs
Expedited medical exceptions
In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025, or fax a request to 1-855-330-1716. You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., Richardson, TX 75081. We will make a coverage determination within 24 hours of receiving the request, and notify you or your prescriber of our decision.
*These circumstances exist when you are suffering from a health condition that may seriously jeopardize your life, health, or ability to regain maximum function, or undergoing a current course of treatment using a non-covered drug.
About your drug list
What is a formulary?
A formulary is a list of drugs covered under your plan, with details about the type of coverage. You may hear the word "formulary" during a doctor’s visit or when you pick up a prescription.
Does the main list include every covered drug?
Your pharmacy benefits plan includes thousands of drugs – too many to list. So your main drug list contains only the most commonly prescribed drugs.
For current members, to check coverage and copay information for a specific medicine log in to your secure member website.
This material is for information only. 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. The drugs on the Preferred Drug List Formulary Exclusions, Precertification, and Quantity Limit Lists are subject to change. The precertification and quantity limits drug coverage review programs are not available in all service areas. For example, precertification programs do not apply to fully insured members in Indiana. However, these programs are available to self-insured plans.
Information is believed to be accurate as of the production date; however, it is subject to change.
Transforming health care, together
Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care designed to help them reach their health ambitions.
You are now being redirected to www.aetna.com.
Banner|Aetna is the brand name used for products and services provided by Banner Health and Aetna Health Insurance Company and Banner Health and Aetna Health Plan Inc. Health benefits and health insurance plans are offered and/or underwritten by Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner|Aetna). Each insurer has sole financial responsibility for its own products. Banner Health and Aetna Health Insurance Company and Banner Health and Aetna Health Plan Inc. are affiliates of Banner Health and, of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Banner|Aetna.
You are now being redirected to www.bannerhealthnetwork.com.
Banner|Aetna is the brand name used for products and services provided by Banner Health and Aetna Health Insurance Company and Banner Health and Aetna Health Plan Inc. Health benefits and health insurance plans are offered and/or underwritten by Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner|Aetna). Each insurer has sole financial responsibility for its own products. Banner Health and Aetna Health Insurance Company and Banner Health and Aetna Health Plan Inc. are affiliates of Banner Health and, of Aetna Life Insurance Company and its affiliates (Aetna). Banner Health provides certain management services to Banner|Aetna.
Notice
Beginning 7/23/19 the Banner|Aetna member portal will be changing to the new Aetna Health portal. This system transition will not affect any member or plan information and can still be accessed through the member portal "Log In" button on banneraetna.com. This system transition is part of our ongoing goal to better serve our members and improve their experience.
Health benefits and health insurance plans are offered, underwritten, and/or administered by Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner|Aetna). Banner|Aetna is an affiliate of Banner Health and of Aetna Life Insurance Company and its affiliates (Aetna). Each insurer has sole financial responsibility for its own products. Aetna and Banner Health provide certain management services to Banner|Aetna. Aetna, CVS Pharmacy® and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.
This material is for information only. An application must be completed to obtain coverage. Rates and benefits vary by location. Providers are independent contractors and are not agents of Banner|Aetna. Provider participation may change without notice.
Health insurance plans contain exclusions and limitations.
Language services can be provided by calling the number on your member ID card. For additional language assistance: