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Fw: Aetna Better Health - Update- Psychotropic Medication

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FYI

Ellen

Ellen Garber Bronfeld

egskb@...

Aetna Better Health - Update- Psychotropic Medication

Our members and advocates spoke ..we listened.

To ensure continuation of psychotropic medications for our members, we have

revised our prescription-refill procedure to avoid disruption of medication.

The procedure applies to:

Ø Psychotropic medications only

Ø Refills for the medication (does not apply for a new prescription)

Ø Members who are beyond their 90 day transition of care period

Ø Instances when Prior Authorization is unable to be obtained by the

pharmacy

Ø A one-time only over ride per medication

Ø A prescription filled at an in-network pharmacy

For psychotropic medications that require prior authorization: in the event a

member presents at the pharmacy for their refill and prior authorization is

unable to be obtained, the member will not be turned away. Instead, the

pharmacist will reach out to Aetna Better Health and request an override to fill

the prescription for 30 days. This will allow the member to secure their

psychotropic medication in hand at that time. The Psychiatrist will then be

notified by the pharmacy of the need for a Prior Authorization well in advance

of the 30 days.

Jacqleen Musarra

Community Liaison Manager

Aetna Better Health, Illinois

One South Wacker Drive

Chicago, IL 60606

312.821.0583

MusarraJ@...

This e-mail may contain confidential or privileged information. If you think you

have received this e-mail in error, please advise the sender by reply e-mail and

then delete this e-mail immediately. Thank you. Aetna

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