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

Medicaid (MMA) 

Florida Medicaid Pharmacy Non-Formulary & Prior Authorization Guidelines 


Florida Healthy Kids (FHK) (CHIP)

Florida Healthy Kids Non-Formulary & Prior Authorization Guidelines 

Growth Hormone