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Does Aetna cover adhd in New York?

Ondoc accepts Medicare, self-pay, and major commercial insurance. Medicaid is not accepted.

Select Aetna during discovery to see Ondoc's current payer status before patient details. Member-specific eligibility, active status, and benefits are verified by our insurance verification team.

Formulary & tier

Ondoc's ADHD care is non-stimulant only. Generic atomoxetine is usually a low tier; brand Qelbree often needs prior authorization. Ondoc does not offer a stimulant ADHD program.

Aetna's formulary tiers most generic refills at a low copay. If your medication needs a prior authorization, our clinician can submit it on your behalf.

Commonly prescribed: Strattera (atomoxetine) · Qelbree (viloxazine ER) · bupropion
Prior authorization

Aetna typically requires PA for non-stimulants prescribed for adhd. Ondoc's clinician completes the PA form and submits it directly to Aetna — you don't fill out any paperwork.

Aetna requires prior authorization for GLP-1s, brand-name stimulants, and some specialty drugs. We handle the PA paperwork and fax it to Aetna.

New York state mandate

New York follows standard commercial-formulary rules for adhd. No state-specific mandate expands coverage beyond Aetna's national formulary at this time. Federal ACA preventive-services rules still apply where relevant.

How Ondoc handles Aetna for adhd in New York
  1. Select Aetna during discovery to see Ondoc's current payer status.
  2. Choose an appointment time or continue without one.
  3. Enter your insurance details when you intentionally continue into care.
  4. Our insurance verification team verifies member-specific eligibility, active status, and benefits.
Member portal: Aetna Member Services: 1-800-872-3862 · aetna.com/member