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Aetna Medical ExceptionPrior AuthorizationPrecertification Request for Prescription Medications Accessible PDF Aetna Medical Exc Form
Medical Exception/
Prior Authorization/Precertification*
Request for Prescription MedicationsFax this form to: 18772699916
OR
Submit your request online at:
https://www.availity.com
Visit www.aetna.com/formulary...
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