Aetna Better Health Illinois Medicaid Formulary

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Preferred Drug List Search Tool Aetna Medicaid Illinois

(6 days ago) WebBevespi Aer 9-4.8mcg (Quantity Limit Added) Levofloxacin Sol 25mg/Ml (Quantity Limit, Age Limit Added) Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1% (Quantity Limit …

https://www.aetnabetterhealth.com/illinois-medicaid/preferred-drug-list.html

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Illinois Medicaid Preferred Drug List

(1 days ago) WebIllinois Medicaid Preferred Drug List Effective January 1, 2024 The Preferred Drug List (PDL) has products listed in groups by drug class, drug name, dosage form, and PDL …

https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecollectiondocuments/pdl01012024.pdf

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Main Formulary Search - MMITNetwork

(9 days ago) WebMain Formulary Search. For more detailed information about your Aetna Better Health of Illinois prescription drug coverage, please review your Member Handbook and other …

https://client.formularynavigator.com/Search.aspx?siteCode=9001945511

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Aetna Better Health® of Illinois

(2 days ago) WebAetnaBetterHealth.com/Illinois-Medicaid IL-20-09-49 December 2020 Aetna Better Health® of Illinois Preferred Drug List December 2020 . This Formulary is up to date

https://es.aetnabetterhealth.com/content/dam/aetna/medicaid/illinois/providers/pdf/ABHIL_Formulary.pdf

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Illinois Medicaid Preferred Drug List

(6 days ago) WebIllinois Medicaid Preferred Drug List Effective July 1, 2020 The Preferred Drug List (PDL) has products listed in groups by drug class, drug name, dosage form, and PDL status

https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecollectiondocuments/07012020pdlfinal.pdf

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AETNA BETTER HEALTH® Illinois formulary

(1 days ago) WebILLINOIS FORMULARY REVISED July 2016 Page 1 What is the Aetna Better Health Illinois Formulary? This is a drug list created by Aetna Better Health (“plan”). Aetna …

https://es.illinois.aetnabetterhealth.com/illinois/assets/pdf/pharmacy/ABH_IL_Formulary_%20712016.pdf

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Prescription Drug List (Formulary), Coverage & Costs - Aetna

(5 days ago) WebYou can: Enter the first 3 letters of a medicine name to check coverage. Find pricing for store pickup or through mail order. Get suggestions for generic drugs that can help you …

https://www.aetna.com/individuals-families/find-a-medication.html

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AETNA BETTER HEALTH

(7 days ago) WebAETNA BETTER HEALTH® Coverage Policy/Guideline Name: Simponi . Page: 1 of 8 Effective Date: 5/1/2024 Last Review Date: 11/2023; 4/1/2024 Applies to: ☐Illinois …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/formulary/guidelines/Simponi-Aetna-MD-PennCHIP-FLHK-KYPRMD-Medicaid-Policy-ua.pdf

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AETNA BETTER HEALTH®

(5 days ago) WebPolicy/Guideline: The requested drug will be covered with prior authorization when the following criteria are met: The request is for Protopic (tacrolimus) 0.03% ointment OR. …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/formulary/guidelines/Tacrolimus-Ointment-Aetna-Medicaid-Policy-ua.pdf

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AETNA BETTER HEALTH®

(2 days ago) WebAETNA BETTER HEALTH® Coverage Policy/Guideline Name: Ilumya . Effective Date: 5/1/2024 . Last Review Date: 11/2023; 4/2024 . Applies to: ☐Illinois ☐New Jersey …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/formulary/guidelines/Ilumya-MD-PennCHIP-FLHK-KY-Aetna-Medicaid-Policy-ua.pdf

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AETNA BETTER HEALTH®

(7 days ago) WebAETNA BETTER HEALTH® Coverage Policy/Guideline Name: Skyrizi Page: 1 of 7 11/2023, 3/2024 Applies to: ☐Illinois New Jersey Pennsylvania Kids ☐Florida Maryland …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/formulary/guidelines/Skyrizi-Aetna-MD-KYPRMD-FLHK-PennCHIP-Medicaid-Policy-ua.pdf

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AETNA BETTER HEALTH®

(4 days ago) WebAETNA BETTER HEALTH® Coverage Policy/Guideline Name: Omvoh (mirikizumab-mrkz) Effective Date: 5/1/2024 . Last Review Date: 01/08/2024; 4/2024 . Applies to: ☒Illinois …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/formulary/guidelines/Omvoh-Aetna-IL-Medicaid-Policy-ua.pdf

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Aetna Better Health of Illinois Prior Authorization Guidelines

(1 days ago) WebAetna Medicaid requires use of generic agents that are considered (formulary and non-formulary) for same indication, if available • The drug is listed in any of the following …

https://es.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/formulary/guidelines/ABH-Illinois-PA-Guideline-Chart.pdf

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Illinois Medicaid Preferred Drug List

(1 days ago) WebIllinois Medicaid Preferred Drug List Effective April 1, 2023 The Preferred Drug List (PDL) has products listed in groups by drug class, drug name, dosage form, and PDL status

https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecollectiondocuments/PDL04012023.pdf

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The Right Medicaid Plan For You Aetna Better Health Illinois

(6 days ago) WebYou can choose your Medicaid plan. Choose Aetna Better Health® of Illinois. You’ll get benefits other plans may not offer — like over-the-counter (OTC) products for personal, …

https://es.illinois.aetnabetterhealth.com/illinois-medicaid/choose-plan.html

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FY 2025 Benefit Choice - State Employees Group Insurance …

(1 days ago) WebEMPLOYEES MUST RE-ENROLL EACH PLAN YEAR. The MCAP maximum contribution limit is $3,200 for the FY25 plan year period. Funds must be used within the plan year, …

https://ilsrs.illinois.gov/content/dam/soi/en/web/srs/documents/fy2025-benefit-choice-booklet.pdf.pdf

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