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2020 Aetna Pharmacy Drug Guide Aetna Standard Plan The University of Virginia Health Plan

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Table of Contents INFORMATIONAL SECTION...... 8 *5-HT4 RECEPTOR AGONISTS*** - DRUGS FOR THE STOMACH...... 18 *ADENOSINE RECEPTOR ANTAGONIST*** - DRUGS FOR THE NERVOUS SYSTEM...... 18 *ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS* - DRUGS FOR THE NERVOUS SYSTEM...... 18 *AGENTS FOR NARCOTIC WITHDRAWAL*** - DRUGS FOR ADDICTION...... 21 *AGENTS FOR WITHDRAWAL*** - DRUGS FOR ADDICTION...... 21 *ALTERNATIVE MEDICINES* - VITAMINS AND MINERALS...... 21 *AMEBICIDES* - DRUGS FOR INFECTIONS...... 21 *AMINOGLYCOSIDES* - DRUGS FOR INFECTIONS...... 21 *AMINOMETHYLCYCLINES*** - DRUGS FOR INFECTIONS...... 21 *ANALGESICS - ANTI-INFLAMMATORY* - DRUGS FOR PAIN AND FEVER...... 21 *ANALGESICS - NONNARCOTIC* - DRUGS FOR PAIN AND FEVER...... 26 *ANALGESICS - OPIOID* - DRUGS FOR PAIN AND FEVER...... 28 *ANDROGENS-ANABOLIC* - HORMONES...... 34 *ANORECTAL AGENTS* - RECTAL PREPARATIONS...... 35 *ANTACIDS* - DRUGS FOR THE STOMACH...... 35 *ANTHELMINTICS* - DRUGS FOR INFECTIONS...... 36 *ANTIANGINAL AGENTS* - DRUGS FOR THE HEART...... 36 *ANTIANXIETY AGENTS* - DRUGS FOR THE NERVOUS SYSTEM...... 37 *ANTIARRHYTHMICS* - DRUGS FOR THE HEART...... 37 *ANTIASTHMATIC AND BRONCHODILATOR AGENTS* - DRUGS FOR THE LUNGS...... 38 *ANTICOAGULANTS - MISC.*** - DRUGS FOR THE BLOOD...... 42 *ANTICOAGULANTS* - DRUGS FOR THE BLOOD...... 42 *ANTICONVULSANTS* - DRUGS FOR THE NERVOUS SYSTEM...... 44 *ANTIDEMENTIA AGENT COMBINATIONS*** - DRUGS FOR THE NERVOUS SYSTEM...... 47 *ANTIDEPRESSANTS* - DRUGS FOR THE NERVOUS SYSTEM...... 48 *ANTIDIABETICS* - HORMONES...... 50 *ANTIDIARRHEAL/PROBIOTIC AGENTS* - DRUGS FOR THE STOMACH...... 56 *ANTIDIARRHEALS* - DRUGS FOR THE STOMACH...... 57 *ANTIDOTES AND SPECIFIC ANTAGONISTS* - DRUGS FOR OVERDOSE OR POISONING...57 *ANTIDOTES* - DRUGS FOR OVERDOSE OR POISONING...... 57 *ANTIEMETICS* - DRUGS FOR THE STOMACH...... 58 *ANTIFUNGALS* - DRUGS FOR INFECTIONS...... 59 *ANTIHEMOPHILIC PRODUCTS - MONOCLONAL ANTIBODIES*** - DRUGS FOR THE BLOOD...... 60 ** - DRUGS FOR THE LUNGS...... 60 *ANTIHYPERLIPIDEMICS MISC. COMBINATIONS*** - DRUGS FOR THE HEART...... 61 *ANTIHYPERLIPIDEMICS* - DRUGS FOR THE HEART...... 61 *ANTIHYPERTENSIVES* - DRUGS FOR THE HEART...... 63 *ANTI-INFECTIVE AGENTS - MISC.* - DRUGS FOR INFECTIONS...... 66 *ANTIMALARIALS* - DRUGS FOR INFECTIONS...... 67 *ANTIMYASTHENIC AGENTS* - DRUGS FOR NERVES AND MUSCLES...... 67 *ANTIMYASTHENIC/CHOLINERGIC AGENTS* - DRUGS FOR NERVES AND MUSCLES...... 68 *ANTIMYCOBACTERIAL AGENTS* - DRUGS FOR INFECTIONS...... 68 *ANTINEOPLASTIC - FGFR KINASE INHIBITORS*** - DRUGS FOR CANCER...... 69

TOC-3 *ANTINEOPLASTIC - TROPOMYOSIN RECEPTOR KINASE INHIBITORS*** - DRUGS FOR CANCER...... 69 *ANTINEOPLASTIC - XPO1 INHIBITORS*** - DRUGS FOR CANCER...... 69 *ANTINEOPLASTIC OR PREMALIGNANT LESION AGENT - COMB*** - DRUGS FOR THE SKIN...... 69 *ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES* - DRUGS FOR CANCER...... 69 *ANTI-OBESITY AGENT COMBINATIONS** - DRUGS FOR EATING DISORDERS...... 76 *ANTIPARKINSON AGENTS* - DRUGS FOR THE NERVOUS SYSTEM...... 77 *ANTIPSORIATIC COMBINATIONS*** - DRUGS FOR THE SKIN...... 78 */ANTIMANIC AGENTS* - DRUGS FOR THE NERVOUS SYSTEM...... 78 *ANTIRETROVIRALS ADJUVANTS*** - DRUGS THAT ALTER