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2021 Aetna Standard Plan Plan for your best health 2020 Aetna Pharmacy Drug Guide Aetna Standard Plan Aetna.com Health benefits and health insurance plans are offered, administered and/or underwritten by Aetna Health Inc., Aetna Health Insurance Company of New York, Aetna HealthAssurance Pennsylvania Inc., Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). In Florida, by Aetna Health Inc. and/or Aetna Life Insurance Company. In Utah and Wyoming by Aetna Health of Utah Inc. and Aetna Life Insurance Company. In Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Each insurer has sole financial responsibility for its own products. 2021 Pharmacy Drug Guide - Aetna Standard Plan Table of Contents INFORMATIONAL SECTION..................................................................................................................6 *ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS* - DRUGS FOR THE NERVOUS SYSTEM.................................................................................................................................16 *ALLERGENIC EXTRACTS/BIOLOGICALS MISC* - BIOLOGICAL AGENTS...............................19 *ALTERNATIVE MEDICINES* - VITAMINS AND MINERALS....................................................... 19 *AMEBICIDES* - DRUGS FOR INFECTIONS.....................................................................................19 *AMINOGLYCOSIDES* - DRUGS FOR INFECTIONS.......................................................................19 *ANALGESICS - ANTI-INFLAMMATORY* - DRUGS FOR PAIN AND FEVER............................19 *ANALGESICS - NONNARCOTIC* - DRUGS FOR PAIN AND FEVER.......................................... 25 *ANALGESICS - OPIOID* - DRUGS FOR PAIN AND FEVER.......................................................... 27 *ANDROGENS-ANABOLIC* - HORMONES........................................................................................32 *ANORECTAL AND RELATED PRODUCTS* - RECTAL PREPARATIONS...................................33 *ANTACIDS* - DRUGS FOR THE STOMACH.....................................................................................34 *ANTHELMINTICS* - DRUGS FOR INFECTIONS............................................................................ 34 *ANTIANGINAL AGENTS* - DRUGS FOR THE HEART................................................................. 34 *ANTIANXIETY AGENTS* - DRUGS FOR THE NERVOUS SYSTEM.............................................35 *ANTIARRHYTHMICS* - DRUGS FOR THE HEART....................................................................... 36 *ANTIASTHMATIC AND BRONCHODILATOR AGENTS* - DRUGS FOR THE LUNGS............ 36 *ANTICOAGULANTS* - DRUGS FOR THE BLOOD..........................................................................41 *ANTICONVULSANTS* - DRUGS FOR THE NERVOUS SYSTEM.................................................. 42 *ANTIDEPRESSANTS* - DRUGS FOR THE NERVOUS SYSTEM....................................................47 *ANTIDIABETICS* - HORMONES........................................................................................................50 *ANTIDIARRHEAL/PROBIOTIC AGENTS* - DRUGS FOR THE STOMACH................................ 57 *ANTIDOTES AND SPECIFIC ANTAGONISTS* - DRUGS FOR OVERDOSE OR POISONING...57 *ANTIEMETICS* - DRUGS FOR THE STOMACH..............................................................................58 *ANTIFUNGALS* - DRUGS FOR INFECTIONS.................................................................................59 *ANTIHISTAMINES* - DRUGS FOR THE LUNGS.............................................................................60 *ANTIHYPERLIPIDEMICS* - DRUGS FOR THE HEART.................................................................61 *ANTIHYPERTENSIVES* - DRUGS FOR THE HEART..................................................................... 63 *ANTI-INFECTIVE AGENTS - MISC.* - DRUGS FOR INFECTIONS...............................................66 *ANTIMALARIALS* - DRUGS FOR INFECTIONS............................................................................ 68 *ANTIMYASTHENIC/CHOLINERGIC AGENTS* - DRUGS FOR NERVES AND MUSCLES.......69 *ANTIMYCOBACTERIAL AGENTS* - DRUGS FOR INFECTIONS................................................ 69 *ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES* - DRUGS FOR CANCER......................70 *ANTIPARKINSON AND RELATED THERAPY AGENTS* - DRUGS FOR THE NERVOUS SYSTEM.....................................................................................................................................................79 *ANTIPSYCHOTICS/ANTIMANIC AGENTS* - DRUGS FOR THE NERVOUS SYSTEM..............81 *ANTISEPTICS & DISINFECTANTS* - ANTISEPTICS AND DISINFECTANTS.............................84 *ANTIVIRALS* - DRUGS FOR INFECTIONS..................................................................................... 84 *BETA BLOCKERS* - DRUGS FOR THE HEART...............................................................................89 *CALCIUM CHANNEL BLOCKERS* - DRUGS FOR THE HEART..................................................91 *CARDIOTONICS* - DRUGS FOR THE HEART.................................................................................92 *CARDIOVASCULAR AGENTS - MISC.* - DRUGS FOR THE HEART........................................... 92 *CEPHALOSPORINS* - DRUGS FOR INFECTIONS.......................................................................... 94 *CHEMICALS*......................................................................................................................................... 95 *CONTRACEPTIVES* - DRUGS FOR WOMEN...................................................................................96 *CORTICOSTEROIDS* - HORMONES................................................................................................106 TOC-3 *COUGH/COLD/ALLERGY* - DRUGS FOR THE LUNGS.............................................................. 108 *DERMATOLOGICALS* - DRUGS FOR THE SKIN......................................................................... 110 *DIAGNOSTIC PRODUCTS*................................................................................................................133 .................................................................................................................................................................*DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS* - DRUGS FOR NUTRITION . 143 *DIGESTIVE AIDS* - DRUGS FOR THE STOMACH........................................................................145 *DIURETICS* - DRUGS FOR THE HEART........................................................................................145 *ENDOCRINE AND METABOLIC AGENTS - MISC.* - HORMONES............................................ 146 *ESTROGENS* - HORMONES............................................................................................................. 151 *FLUOROQUINOLONES* - DRUGS FOR INFECTIONS................................................................. 153 *GASTROINTESTINAL AGENTS - MISC.* - DRUGS FOR THE STOMACH.................................153 *GENERAL ANESTHETICS* - DRUGS FOR PAIN AND FEVER................................................... 156 *GENITOURINARY AGENTS - MISCELLANEOUS* - DRUGS FOR THE URINARY SYSTEM 157 *GOUT AGENTS* - DRUGS FOR PAIN AND FEVER...................................................................... 158 *HEMATOLOGICAL AGENTS - MISC.* - DRUGS FOR THE BLOOD........................................... 159 *HEMATOPOIETIC AGENTS* - DRUGS FOR NUTRITION........................................................... 163 *HEMOSTATICS* - DRUGS FOR THE BLOOD.................................................................................168 *HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS* - DRUGS FOR THE NERVOUS SYSTEM...................................................................................................................................................168 *LAXATIVES* - DRUGS FOR THE STOMACH.................................................................................169 *LOCAL ANESTHETICS-PARENTERAL* - DRUGS FOR PAIN AND FEVER............................. 172 *MACROLIDES* - DRUGS FOR INFECTIONS................................................................................. 172 *MEDICAL DEVICES AND SUPPLIES* - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT...........................................................................................................................................173 *MIGRAINE PRODUCTS* - DRUGS FOR THE NERVOUS SYSTEM............................................ 218 *MINERALS & ELECTROLYTES* - DRUGS FOR NUTRITION.....................................................220 *MISCELLANEOUS THERAPEUTIC CLASSES* - VITAMINS AND MINERALS.........................222 *MOUTH/THROAT/DENTAL AGENTS* - DRUGS FOR THE MOUTH AND THROAT..............224 *MULTIVITAMINS* - DRUGS FOR NUTRITION............................................................................ 226 *MUSCULOSKELETAL THERAPY AGENTS* - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES.......................................................................................................................235 *NASAL AGENTS - SYSTEMIC AND TOPICAL* - DRUGS FOR THE NOSE................................238 *NEUROMUSCULAR AGENTS* - DRUGS FOR NERVES AND MUSCLES................................. 238 *NUTRIENTS* - DRUGS FOR NUTRITION...................................................................................... 239 *OPHTHALMIC AGENTS* - DRUGS FOR THE EYE......................................................................
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