Benefily

Aetna (CVS Health) prior authorization requirements

Drug-by-drug prior authorization status for Aetna (CVS Health)’s Medicare Part D plans, taken from the formularies it files with CMS, effective 2026-06-30.

Commonly checked drugs

CMS contract entities grouped under this brand

CMS files name the legal entity, not the brand a person searches for. These are the entities we group under “Aetna (CVS Health)”, so you can check the grouping yourself.

  • AETNA BETTER HEALTH INC. (GA)
  • AETNA BETTER HEALTH INC. (NJ)
  • AETNA BETTER HEALTH OF CALIFORNIA INC.
  • AETNA BETTER HEALTH OF MICHIGAN INC.
  • AETNA BETTER HEALTH OF OKLAHOMA INC.
  • AETNA BETTER HEALTH OF TEXAS INC.
  • AETNA BETTER HEALTH OF WASHINGTON, INC.
  • AETNA BETTER HEALTH PREMIER PLAN MMAI INC.
  • AETNA BETTER HEALTH, INC. (LA)
  • AETNA HEALTH AND LIFE INSURANCE COMPANY
  • AETNA HEALTH INC. (CT)
  • AETNA HEALTH INC. (FL)
  • AETNA HEALTH INC. (GA)
  • AETNA HEALTH INC. (LA)
  • AETNA HEALTH INC. (ME)
  • AETNA HEALTH INC. (NJ)
  • AETNA HEALTH INC. (NY)
  • AETNA HEALTH INC. (PA)
  • AETNA HEALTH INC. (TX)
  • AETNA HEALTH OF CALIFORNIA INC.
  • AETNA HEALTH OF IOWA INC.
  • AETNA HEALTH OF MICHIGAN INC.
  • AETNA HEALTH OF OHIO INC.
  • AETNA HEALTH OF UTAH INC.
  • AETNA LIFE INSURANCE COMPANY
  • COMMUNITY FIRST HEALTH PLANS, INC.
  • COVENTRY HEALTH AND LIFE INSURANCE COMPANY
  • COVENTRY HEALTH CARE OF ILLINOIS, INC.
  • COVENTRY HEALTH CARE OF KANSAS, INC.
  • COVENTRY HEALTH CARE OF MISSOURI, INC.
  • COVENTRY HEALTH CARE OF NEBRASKA, INC.
  • COVENTRY HEALTH CARE OF VIRGINIA, INC.
  • COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.
  • EL PASO FIRST HEALTH PLANS, INC.
  • FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
  • HEALTH FIRST HEALTH PLANS
  • HEALTHFIRST HEALTH PLAN, INC.
  • SILVERSCRIPT INSURANCE COMPANY