Payer PolicyActive
Anecortave Acetate (Retaane)
AETNA-CPB-0706
Aetna
Effective: September 20, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna considers anecortave acetate (Retaane) experimental and investigational with no covered indications and specifically does not cover it for age-related macular degeneration (ICD-10 H35.3110–H35.3293), glaucoma (H40.001–H42), or retinoblastoma (C69.20–C69.22). Coverage is denied because effectiveness has not been established, and the policy notes the listed indications are not all-inclusive so other uses may also be considered experimental/investigational and not covered unless otherwise specified.
Coverage Criteria Preview
Key requirements from the full policy
"Aetna considers anecortave acetate (Retaane) experimental and investigational for the treatment of the following indications because its effectiveness has not been established (not an all-inclusive..."
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