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Maintenance drugs

Drugs that are taken on a regular basis 2021 Maintenance medicine list

05.03.396.1O (1/21) Maintenance medicines are the kind of drugs that are taken on a regular basis. They’re used to treat ongoing conditions such as the ones shown in the categories listed below.

Key UPPERCASE Brand-name medicine

lowercase italics Generic medicine 2021 Maintenance Medicine List

Category Generic medicine Brand-name medicine

Allergies desloratadine levocetirizine

Alzheimer’s disease donepezil memantine NAMZARIC galantamine rivastigmine

Antipsychotics IR/ER brexipiprazole thiothixene olanzapine/fluoxetine

Attention deficit atomoxetine ER hyperactivity ER disorder (ADHD)

Blood modifiers anagrelide dipyridamole ZONTIVITY aspirin-dipyridamole cilostazol prasugrel clopidogrel ticlopidine

Cancer toremifene

Contraceptives/ ethinyl estradiol-ethynodiol ESTRING hormone replacement estradiol gel ethinyl estradiol-etonogestrel EVAMIST estradiol transdermal ethinyl estradiol-levonorgestrel IMVEXXY ethinyl estradiol-desogestrel ethinyl estradiol-norelgestromin LO LOESTRIN ethinyl estradiol-drospirenone ethinyl estradiol-norethindrone MENEST ethinyl estradiol- ethinyl estradiol norgestimate NATAZIA drospirenone-evomefo ethinyl estradiol-norgestrel PREMARIN

Health benefits and health insurance plans are offered 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/or 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.

2 Category Generic medicine Brand-name medicine

Depression bupropion fluvoxamine APLENZIN citalopram FETZIMA desvenlafaxine TINTELLIX duloxetine paroxetine VIIBRYD escitalopram sertraline fluoxetine venlafaxine

Diabetes acarbose miglitol AVANDIA chlorpropamide nateglinide CYCLOSET glimepiride pioglitazone SYMLIN glipizide repaglinide glyburide tolazamide metformin tolbutamide

Diabetes: alogliptin/pioglitazone pioglitazone/ glimepiride Combinations glipizide/metformin pioglitazone/metformin glyburide/metformin

Diabetes: glucose meter insulin pump ALBUSTIX Test strips/lancets/meters glucose test strip insulin syringes and needles CHEMSTRIPS NOVA MAX PLUS KETONE

Digestive pancrelipase CREON PANCREAZE ZENPEP

Diuretics acetazolamide hydrochlorothiazide (HCTZ) amiloride methazolamide chlorthalidone dyrenium

Diuretics: HCTZ/pironolactone Combinations HCTZ/triamterene

Enlarged silodosin CARDURA XL dutasteride/tamsulosin

Gastrointestinal Agents AMITIZA

Glaucoma AZOPT bimatoprost methazolamide LUMIGAN ZIOPTAN carbachol phospholine dorzolamide travoprost latanoprost

Glaucoma: dorzolamide/timolol COMBIGAN Combinations

Gout allopurinol probenecid/colchicine

3 Category Generic medicine Brand-name medicine

Heart disease and benazepril moexipril high blood pressure: captopril perindopril Angiotensin-converting enalapril quinapril (ACE) inhibitors fosinopril ramipril lisinopril trandolapril Heart disease and candesartan losartan EDARBI high blood pressure: eprosartan telmisartan Angiotensin II receptor irbesartan valsartan antagonists Heart disease and amiodarone MULTAQ high blood pressure: disopyramide gluconate Antiarrhythmics flecainide quinidine sulfate mexiletine Heart disease and BYSTOLIC high blood pressure: Beta blockers betaxolol timolol levatol Heart disease and amlodipine nicardipine high blood pressure: nifedipine Calcium channel blockers felodipine nisoldipine isradipine verapamil Heart disease and amlodipine/atorvastatin irbesartan/hctz EDARBYCLOR high blood pressure: amlodipine/hctz lisinopril/hctz PRESTALIA Combinations amlodipine/olmesartan losartan/hctz TEKTURNA HCT amlodipine/valsartan /hctz amlodipine/olmesartan/hctz metoprolol/hctz amlodipine/valsartan/hctz moexipril/hctz atenolol/chlorthalidone nadolol/bendroflumethiazide benazepril/hctz olmesartan/hctz bisoprolol/hctz propranolol/hctz candesartan/hctz quinapril/hctz clonidine/chlorthalidone telmisartan/amlodipine captopril/hctz telmisartan/hctz enalapril/hctz trandolapril/verapamil fosinopril/hctz valsartan/hctz Heart disease and aliskiren methyldopa BIDIL high blood pressure: clonidine minoxidil Miscellaneous guanfacine cardiovascular hydralazine ranolazine reserpine High atorvastatin gemfibrozil LIVALO cholestyramine lovastatin VASCEPA colesevelam omega-3-acid ethyl ester colestipo (fda approved) ezetimibe cr ezetimibe/simvastatin pravastatin fenofibrate micronized rosuvastatin fluvastatin simvastatin

4 Category Generic medicine Brand-name medicine

Immune disorders azathioprine

Inflammatory sulfasalazine DIPENTUM bowel disease

Kidney disease calcitriol sevelamer hcl AURYXIA calcium acetate sevelamer carbonate VELPHORO lanthanum carbonate Miscellaneous cevimeline pilocarpine CUVPOSA mesylate ursodiol NASCOBAL

Osteoporosis alendronate BINOSTO calcitonin risedronate FOSAMAX D ibandronate

Overactive bladder darifenacin solifenacin TOVIAZ flavoxate tolterodine oxybutynin trospium

Parkinson’s disease benztropine entacapone NEUPRO pramipexole ONGEN carbidopa ropinirole RYTARY carbidopa/levodopa tolcapone XADAGO carbidopa/levodopa/ trihexyphenidyl entacapone

Respiratory agents aminophylline ipratropium ADVAIR HFA budesonide ipratropium/albuterol ALVESCO budesonide/ metaproterenol ANORO ELLIPTA cromolyn montelukast ARCAPTA dyphylline ARNUITY ELLIPTA fluticasone/ theophylline ASMANEX formoterol zafirlukast BEVESPI BREO ELLIPTA BREZTRI AEROSPHERE BROVANA DULERA FLOVENT INCRUSE ELLIPTA QVAR REDIHALER SEEBRI NEOHALER SEREVENT SPIRIVA STIOLTO RESPIMAT STRIVERDI TRELEGY ELLIPTA TUDORZA UTIBRON ZYFLO

Rheumatoid arthritis leflunomide RIDAURA

5 Category Generic medicine Brand-name medicine

Seizure disorders carbamazepine primidone APTIOM divalproex tiagabine CELONTIN ethosuximide topiramate PEGANONE felbamate topiramate er TROKENDI XR lamotrigine valproic acid levetiracetam zonisamide oxcarbazepine

Thyroid levothyroxine liothyronine thyroid

Ulcer/gastroesophageal cimetidine omeprazole/ DEXILANT reflux disease (GERD) esomeprazole magnesium sodium bicarbonate ESOMEPRAZOLE famotidine tab pantoprazole STRONTIUM lansoprazole rabeprazole nizatidine ranitidine omeprazole sucralfate

This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with Aetna. To check coverage and copay information for a specific medicine, visit aetna.com and log in to your secure member website. For more details, please call the toll-free number on your member ID card. This is not an inclusive list. It is subject to change. Products that are not represented on this list may be subject to plan- specific copayment or coinsurance. Void where prohibited by law. Specific prescription benefits plan design may not cover certain categories or may be subject to additional charges or restrictions, regardless of their appearance in this document. Aetna or its affiliate(s) may receive rebates from drug manufacturers. Rebates may reduce the amount a member pays the pharmacy for covered prescriptions. Information is believed to be accurate as of the production date; however, it is subject to change. For questions, please call the toll- free number on your Aetna ID card. Policy forms issued in Oklahoma include: HMO OK COC-5 09/07, HMO/OK GA-3 11/01, HMO OK POS RIDER 08/07, GR-23, GR-29/GR-29N. Policy forms issued in Missouri include: AL HGrpPol 01R5, HI HGrpAg 05, HO HGrpPol 04. AL SG GrpPOLAmend 2020 01, HI SG GrpAgAmend 2020 01. HI HGrpAG SG 01R.

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