Pharmacy Prior Authorization Guidelines

Aetna Better Health used the Agency for Health Care Administration (AHCA) Drug Criteria and our custom Prior Authorization Guidelines to make decisions when you send in a request for a drug on the PDL/formulary that needs a review prior to being dispensed. To have a copy of these guidelines sent to you or to have any questions answered, just call:

Medicaid Provider Relations at 1-800-441-5501
Florida Healthy Kids Provider Relations at 1-844-528-5815

***Please note: All requests for Spinraza and Exondys 51 should be submitted to Magellan. If you have any questions, please contact the Magellan Clinical Helpdesk at 1-800-603-1714. ***


Botulinum Toxins (effective 04.01.2020)