Aetna Managed Care Committee Member
Nicole Carlson, CCA - Oncology Hematology Associates of Saginaw Valley
Changes to our National Precertification List (NPL)
This update applies to both our commercial and Medicare members, unless otherwise noted. Effective January 1, 2024, we’ll require precertification for the following drugs:
To save time, request precertification online. Doing so is fast, secure and simple. You can submit most requests online through our Availity provider portal.* Or you can use your practice’s Electronic Medical Record (EMR) system if it’s set up for electronic precertification requests. Use our “Search by CPT code” search function on our precertification lists page to find out if the code requires precertification. If you need precertification for a specialty drug for a commercial or Medicare member, submit your request through Novologix®, also available on Availity®.
Precertification – Health Care Professionals