Pharmacy & Pharmacists
Aetna Pharmacy Management has the tools and information you need, when you need them
Pharmacy Help Line
Call the Pharmacy Help Line 1-800-238-6279
We are here to answer any questions you may have about claims, policies, benefits and more — 24 hours a day, every day.
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We're easy to work with
Join Aetna’s network
Become a participating pharmacy. Request an enrollment packet.
Submit pharmacy claims online
Participating pharmacies can submit claims 24 hours a day, 7 days a week.
- Use the most current version of the National Council for Prescription Drug Program Telecommunication Standard (NCPDP Standard) to submit online claims for processing. Learn more about online claims submission.
- Make sure you have a National Provider Identifier (NPI). We only accept NPIs for HIPAA standard online transactions. This also applies to Universal Claim Form (UCF) processing. Learn more about NPI.
Use your secure pharmacy professionals website
Log in and find:
- Aetna’s current Maximum Allowable Cost (MAC) list
- Pharmacy Provider Services Manual
- Formulary information (Medicare and non-Medicare)
Click here for information about how pharmacies should bill Aetna for administering the H1N1 flu vaccine