Get Aetna Gc-1554 2011-2025

Filling out the Aetna GC-1554 form online can streamline the process of submitting your prescription drug claims. This guide will provide you with step-by-step instructions to ensure that you complete the form accurately and effectively.

Follow the steps to complete your Aetna GC-1554 form online.

1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin by filling out the member information located at the top portion of the form. Ensure you provide your full name, including first, middle, and last names.
3. Specify your gender by selecting either 'Male' or 'Female'. Then enter your birthdate in the MM/DD/YYYY format.
4. Provide your complete address, including street, city, state, and ZIP code. This information is essential for processing your claim.
5. Sign the form to affirm that the provided information is accurate and complete. Also, include your telephone number.
6. Indicate the reason for manually filing these claims by checking the appropriate box. Options include not receiving the Aetna ID card, using a non-participating pharmacy, or other reasons.
7. For each pharmacy used, complete the detailed prescription information sections. This includes the date filed, RX number, quantity, days supply, national drug code, and medication details.
8. Ensure the pharmacist completes the bottom portion of the form, providing their signature and all required pharmacy details.
9. Attach all necessary detailed prescription receipts or corresponding pharmacist information if required.
10. Finally, save your changes, and be sure to download or print the completed form. Mail the form to Aetna Pharmacy Management at the specified address.

Complete your documents online to ensure a smooth prescription claim process.