Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Aetna before sending sensitive documents. FaxFlow is not affiliated with this organization.

Insurancehigh confidence

Aetna fax number

(877) 269-9916

Prescription benefits / Prior authorization (Rx) – Pharmacy Management

Used for: Prior authorization requests for prescription medications and medical exception/precertification submissions via fax.

Fax destination details

Department
Prescription benefits / Prior authorization (Rx) – Pharmacy Management
Purpose
Prior authorization requests for prescription medications and medical exception/precertification submissions via fax.
Form
Prior Authorization Form — Illinois Uniform Electronic Prior Authorization Form For Prescription Benefits
Voice phone
1-855-240-0535

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete patient and prescribing provider information, medication details, and rationale; submit via fax to 1-877-269-9916 or online at Availity.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.

No public source link was saved with this record. Confirm the number directly with the organization before using it.