Aetna Pharmacy Sales Webform

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Instructions: Please fill out the form with all information necessary for Pharmacy Sales (SAE/AE) to assist with your sales task request. Once the form is submitted you will receive an email confirmation with a sales task number and name of the team member assigned to your sales task. * Denotes a Required Field 

When to use this webform?

  • Client utilization reviews (SI or FI)
  • Client renewal / RFP support
  • Estimated savings for pharmacy solutions 
  • Formulary Quarterly Impact Reporting (SI Only)
  • Pharmacy Rebate Support
Please use the Account Management Webform for all other requests, including data, member access to care, client transition files, quarterly formulary impact (Fully Insured), pharmacy report request, and more. See the form for full details.

Your Contact Information



Use this field if you need to enter a second email address for the team to use when responding to this issue. DO NOT enter a member's email address in either email field.
Request Information


Talking points will be provided on all email support requests.

Is the client at risk? does the consultant have pharmacy representative at the meeting? does the client have an issue the requires pharmacy support?
Plan Sponsor Information
Use 0000000 as the PSU only if there is no active PSU/Account number, otherwise enter the correct PSU for the plan sponsor. If you do not know the plan sponsor's PSU, please  CLICK HERE to view instructions on how to look it up.




Details



FI client utilization reviews require Medical UW approval prior to releasing.






Contact Information