Chronic Medications for HRA Plans 2007

LOWEST MIDDLE TIER HIGHEST TIER Preferred TIER Non- LOWEST MIDDLE TIER HIGHEST LOWEST MIDDLE TIER HIGHEST Preferred brand-name preferred TIER Preferred TIER Non- TIER Preferred TIER Non- generic medications brand and Preferred brand-name preferred Preferred brand-name preferred medications generic generic medications brand and generic medications brand and medications medications generic medications generic ACE INHIBITORS (hypertension, diabetes) medications medications BENAZEPRIL ALTACE ACCUPRIL ALPHA-BETA BLOCKERS (hypertension) CAPTOPRIL ACEON ANTI-DIABETIC DRUGS cont. LABETALOL COREG TRANDATE ENALAPRIL CAPOTEN METAGLIP FOSINOPRIL LOTENSIN ORINASE ANTI-DEPRESSANTS (mental illness) LISINOPRIL MAVIK PRECOSE AMITRIPTYLINE CYMBALTA ADAPIN LYTENSORPRIL MONOPRIL RA GLUCOSE AMOXAPINE EFFEXOR XR ANAFRANIL QUINAPRIL PRINIVIL RIOMET BUDEPRION WELLBUTRIN XL ASENDIN UNIVASC RELION 70/30 BUPROPION AVENTYL VASOTEC RELION N CITALOPRAM CELEXA ZESTRIL RELION R CLOMIPRAMINE DESYREL RELION MIX DESIPRAMINE EFFEXOR ANTI-HYPERLIPIDEMICS (high cholesterol) RIOMET DOXEPIN HCL ELAVIL SM GLUCOSE CHOLESTYRAM ADVICOR ALTOCOR ENDEP ENOVIL SOBA GLUCOSE COLESTIPOL CRESTOR ALTOPREV FLUOXETINE LEXAPRO SYMLIN GEMFIBROZIL LESCOL ANTARA FLUVOXAMINE LUDIOMIL TOLINASE LOVASTATIN LESCOL XL CHOLESTIN IMIPRAMINE LUVOX VELOSULIN BR PRAVASTATIN LOFIBRA CHOLOXIN MAPROTILINE MARPLAN

PREVALITE NIASPAN ER COLESTID MIRTAZAPINE NARDIL SIMVASTATIN TRICOR COLESTID FLA CARDIOTONICS (heart disease) NORTRIPTYLIN NORPRAMIN TRIGLIDE FENOFIBRATE DIGITEK CRYSTODIGIN PAROXETINE PAMELOR VYTORIN LIPEX DIGOXIN LANOXICAPS PROTRIPTYLIN PARNATE WELCHOL LIPITOR DIGOXIN PED LANOXIN SERTRALINE PAXIL ZETIA LOCHOLEST LANOXIN PED TRAZODONE PAXIL CR LOPID ZINECARD VANATRIP PEXEVA LORELCO PROZAC MEVACOR BETA-BLOCKERS (hypertension) PROZAC WEEKL NIASPAN ACEBUTOLOL COREG BETAPACE RAPIFLUX PRAVACHOL ATENOLOL BETAPACE AF REMERON PROBUCOL BETAXOLOL BLOCADREN REMERON SLTB QUESTRAN BISOPROL FUM CARTROL SARAFEM ZOCOR LABETALOL CORGARD SERZONE METOPROLOL INDERAL SINEQUAN NADOLOL INDERAL LA SURMONTIL PINDOLOL INNOPRAN XL THSC DESIPRM PROPRANOLOL KERLONE TOFRANIL ANTI-DIABETIC DRUGS (diabetes) SORINE LEVATOL TOFRANIL-PM ACETOHEXAMID ACTOS AMARYL SOTALOL AF LOPRESSOR TRIMIPRAMINE CHLORABETIC ACTOSPLUS MET APIDRA SOTALOL HCL SECTRAL VIVACTIL CHLORPROPAM AVANDAMET B-D GLUCOSE TIMOLOL MAL SOTALOL HCL ZOLOFT GLIMEPIRIDE AVANDARYL BL GLUCOSE TENORMIN GLIPIZIDE AVANDIA BYETTA TOPROL XL GLIPIZIDE ER HUMALOG CHLORPROPAM TRANDATE ANTI-PSYCHOTICS (mental illness) GLIPIZIDE XL HUMALOG MIX CVS GLUCOSE ZEBETA CHLORPROMAZINE RISPERDAL ABILIFY GLYB/METFORM HUMULIN DD GLUCOSE CLOZAPINE SEROQUEL CLOZARIL GLYBURID MCR HUMULIN L DE GLUCOSE COMPRO ZYPREXA COMPA-Z GLYBURIDE HUMULIN N DEX4 GLUCOSE FLUPHENAZINE ZYPREXA ZYDI COMPAZINE GLYCRON HUMULIN N PN DEX4 POUCH HALOPERIDOL EQUETRO METFORMIN HUMULIN R DEXTROTAB CALCIUM CHANNEL BLOCKERS (heart LITHIUM CARB ESKALITH METFORMIN XR LEVEMIR DIABETA disease) LITHIUM CITR ESKALITH CR TOLAZAMIDE NOVOLOG MIX DIABINESE LITHONATE FAZACLO AFEDITAB NIMOTOP ADALAT TOLBUTAMIDE NOVOLOG DR GLUCOSE LITHOTABS GEODON CARTIA XT ADALAT CC PRANDIN DYMELOR LOXAPINE HALDOL DILT-CD CALAN PROGLYCEM ECK GLUCOSE PERPHENAZINE LITHOBID DILTIA XT CALAN SR STARLIX EQUATE GLUCO PROCHLORPER LOXITANE DILTIAZEM CARDENE FC GLUCOSE THIORIDAZINE LOXITANE-C DILTIAZEM CD CARDENE SR FORTAMET THIOTHIXENE MELLARIL DILTIAZEM ER CARDIZEM FP GLUCOSE TRIFLUOPERAZ MELLARIL-S DILTIAZEM SR CARDIZEM CD GE GLUCOSE MOBAN FELODIPINE CARDIZEM LA GLIBENCLAMID NAVANE ISRADAPINE COVERA-HS GLUCAGEN ORMAZINE NICARDIPINE DILACOR XR GLUCAGON PERMITIL NIFEDIAC CC DYNACIRC GLUCOPHAGE PROLIXIN NIFEDICAL XL DYNACIRC CR GLUCOPHASE XL PRO-MED NIFEDIPINE FELODIPINE GLUCOSE PROZINE NIFEDIPINE SR ISOPTIN GLUCOTROL SERENTIL TAZTIA XT ISOPTIN SR GLUCOTROL XL SPARINE VERAPAMIL NORVASC GLUCOVANCE STELAZINE VERAPAMIL SR PLENDIL GLUTOSE THORAZINE PROCARDIA GLYNASE TRILAFON PROCARDIA XL GLYSET VESPRIN SULAR GNP GLUCOSE TIAZAC HCA GLUCOSE VASCOR ILETIN I LEN VERELAN ILETIN I NPH VERELAN PM ILETIN I REG

ILETIN II

ILETIN II RG

INSTA-GLUCOS

INSULASE

Please remember that this is not a complete list of medications covered under your plan. Because there are thousands of medications included in your pharmacy benefit, we only list the most common ones. If you have any questions about your pharmacy benefit, please visit Aetna's secure website at www.aetna.com. If you don't have access to our website, call the Member Services number on your ID card. Chronic Medications for HRA Plans 2007

LOWEST MIDDLE TIER HIGHEST LOWEST MIDDLE TIER HIGHEST LOWEST MIDDLE TIER HIGHEST TIER Preferred TIER Non- TIER Preferred TIER Non- TIER Preferred TIER Non- Preferred brand-name preferred Preferred brand-name preferred Preferred brand-name preferred generic medications brand and generic medications brand and generic medications brand and medications generic medications generic medications generic medications medications medications DIURETICS (hypertension) ANTI-HYPERTENSIVES (hypertension) ANTI-HYPERTENSIVES cont. ACETAZOLAMID ALDACTAZIDE ATENOL/CHLOR CLORPRES 3H W/R REGITINE AMILOR/HCTZ ALDACTONE BENAZEP/HCTZ COZAAR ACCURETIC REGROTON AMILORIDE A-NURIC DIUR BISOPRL/HCTZ DIBENZYLINE ALDOCLOR RENESE-R BUMETANIDE AQUA BAN M/S CAPTOPR/HCTZ DIOVAN ALDOMET RONDAMETH CHLOROTHIAZID AQUA-BAN W/ CHLO/METHYLD DIOVAN HCT ALDORIL-15 SALUTENSIN CHLORTHALID AQUATENSEN CHLORO/RESER HYZAAR ALDORIL-25 SER-A-GEN DIAQUA BENDROFLUMET CLONID/CHLOR LOTREL ALDORIL-D30 SER-AP-ES FUROSEMIDE BUMEX CLONIDINE ALDORIL-D50 SERATHIDE HYCHLOR CAROZIDE DOXAZOSIN APRESAZIDE SERPAZIDE HYDROCHLORTZ DARANIDE ENALAPR/HCTZ APRESOLINE SERP-ESIDRIX HYDROMAL DEMADEX FOSINOP/HCTZ AQUAPRES R TARKA INDAPAMIDE DIAMOX GUANABENZ ARFONAD TECZEM CR LO-AQUA DIAMOX SEQUE GUANFACINE ATACAND TENEX LOQUA DIAQUA-2 HCTZ/RESERP ATACAND HCT TENORETIC METAHYDRIN DIUCARDIN HYDRAL/HCTZ AVALIDE TERAZOSIN METHAZOLAMID DIURESE HYDRAL/RES/ AVAPRO TEVETEN METHYCLOTHIA DIUREX HYDRALAZINE BENICAR TEVETEN HCT METOLAZONE DIUREX-2 HYDROSERP BENICAR HCT TIMOLIDE M-ZIDE DIURIL HYDROSERP #1 CAM-AP-ES TRI-HYDROSER PROAQUA DYAZIDE HYDROSERP #2 CAPOZIDE UNIRETIC ROSE-40 DYRENIUM HCTZ CARDURA UNI-SERP SPIRONAZIDE EDECRIN LISINOP-HCTZ CATAPRES VASERETIC SPIRONO/HCTZ ENDURON MALLOPRESS CATAPRES-TTS WYTENSIN SPIRONOLACTONE ESIDRIX MARPRES CLORPRES ZESTORETIC TORSEMIDE EXNA METHYLD/HCTZ COMBIPRES-1 ZIAC TRIAM/HCTZ EZIDE METHYLDOPA COMBIPRES-2 TRIAMT/HCTZ GLAUCTABS METOPRL/HCTZ COMBIPRES-3 ANTI-ASTHMATICS (asthma) TRICHLORMETH GLYCITROL MINOXIDIL CORLOPAM AIRET ADVAIR DISKUS ACCOLATE HYDONE PRAZOSIN HCL CORZIDE ALBUTEROL COMBIVENT ACCUNEB HYDRODIURIL PROPRAN/HCTZ DEMI-REGROT ALBUTEROL HFA DUONEB ADRENALIN HYDRO-PAR QUINARETIC DEMSER ASBRON-G FLOVENT AEROBID HYDRO-TABS RAUWOLFIA DIAZOXIDE BRONCHIAL FLOVENT HFA AEROBID-M HYGROTON RESER/CHLORO DIUPRES-250 COPD FLOVENT ROTA AEROLATE III INDAPAMIDE RESERPINE DIUPRES-500 CROMOLYN SOD FORADIL AEROLATE JR INTROL SERPATABS DIURETIC D-G MAXAIR AUTOH AEROLATE SR ISMOTIC SERPEX DIUTENSEN-R DG 200 PROVENTIL HFA ALUPENT LASIX TERAZOSIN ENDURONYL DIFIL G FORT PULMICORT ALUPENT INH LOZOL UNIPRES ESIMIL DILEX-G SEREVENT DIS ALUPENT REF MAXZIDE FENOLDOPAM DILOR SINGULAIR AMI-RAX MAXZIDE-25 FLUMEZIDE DILOR-G SPIRIVA ANA-GUARD MAXZIDE-25MG GUANABENZ DYFILIN-GG UNIPHYL ASBRON-G MICROZIDE GUANFACINE DYFLEX-G VOSPIRE ER ASMA MIDAMOR H-H-R DY-G ASMALIX MODURETIC HYDRAL PLUS DYLINE-GG ASTHMA MYKROX HYDRAP-ES DYPHYL-G ASTHMACON MZM HYDROPLUS-50 DYPHYL-GG ASTHMAHAL RF NAQUA HYDROPRES DYPHYLLIN/GG ASTHMAHALER NATURETIN HYDRO-RESERP DYPHYLLINE ASTHMANEFRIN NEPTAZANE HYDROSERPINE DYPHYLLIN-GG ATROVENT ODRINIL HYLOREL DYPHYSIN ATROVENT HFA ORETIC HYSERP EPHEDRINE SU AZMACORT OSMITROL HYTRIN GLYCERYL-T BECLOVENT OSMITROL VFX INDERIDE IPRATROPIUM BECLOVENT RF OSMOGLYN INDERIDE LA ISOETHARINE BRETHAIRE RENESE INSPRA JAY-PHYL BRETHAIRE RF SALURON INVERSINE LIXOLIN BRETHINE SPIRONO PLUS ISMELIN NEOTHYLLINE BRICANYL THALITONE L-DOPRES OXTRIPHYLLIN BROMCOMAR UREAPHIL LEXXEL PANFIL-G BRONCAP WASSER LONITEN TEDRIGEN BRONCHIAL ZAROXOLYN LOPRESS HCT TERBUTALINE BRONCHIAL RF ZIDE-50 LOTENSIN HCT THEO/HYD/EPH BRONCODUR LOTREL THEOCAP BRONCOMAR GG DIABETIC SUPPLIES (diabetes) METATENSIN THEOCHRON BRONCOMAR-1 BD INSULIN SYR ACCUCHEK MICARDIS THEOCHRON SR BRONDELATE BD LANCET ASCENSIA MICARDIS HCT THEOCHRON-SR BRONDIL BD PEN NEEDLES ASSURE MINIPRESS THEOCLEAR-80 BRONELIXIR FREESTYLE TEST MINIZIDE THEOCON BRONITIN STRIPS AUTOLET MINOXIDIL THEO-G BRONKAID ONE TOUCH TEST GLUCOMETER MONOPRIL HCT THEOLAIR BRONKAID MIS STRIPS NITROPRESS INSULIN SYRINGES THEOLATE BRONKEPHRINE PRECISION (ALL OTHER BRANDS) ORETICYL THEOMAX DF BRONKOLIXIR MONOJECT SYR PRINZIDE THEOPHEDRITA BRONKOMETER PRESTIGE PRISCOLINE THEOPHENYLLINE BRONKOSOL QUICK-SET QUINARETIC THEOPHYLL-GG CHOLEDYL SOFTCLIX RAUWOLFIA/ THEOPHYLLINE CHOLEDYL SA TEST STRIPS (ALL RAUZIDE OTHER BRANDS) THEOSOL-80 CLENBUTEROL UNI-BRONCHIA CONSTANT-T UNISTIK DIFIL-G

Please remember that this is not a complete list of medications covered under your plan. Because there are thousands of medications included in your pharmacy benefit, we only list the most common ones. If you have any questions about your pharmacy benefit, please visit Aetna's secure website at www.aetna.com. If you don't have access to our website, call the Member Services number on your ID card. Chronic Medications for HRA Plans 2007

LOWEST MIDDLE TIER HIGHEST LOWEST MIDDLE TIER HIGHEST LOWEST MIDDLE TIER HIGHEST TIER Preferred TIER Non- TIER Preferred TIER Non- TIER Preferred TIER Non- Preferred brand-name preferred Preferred brand-name preferred Preferred brand-name preferred generic medications brand and generic medications brand and generic medications brand and medications generic medications generic medications generic medications medications medications ANTI-ASTHMATICS cont. ANTI-ASTHMATICS cont. ANTI-ANGINAL AGENTS cont. DILEX-G THEO-24 NITRO-PAR DILEX-G 200 THEOBID NITRONG DILEX-G 400 THEOCHRON PERSANTINE DILOR THEOCHRON SR PETN DILOR-G THEOCHRON-SR RENEXA DORAPHYLLIN THEOCLEAR-LA SORBITRATE DUO-MEDIHAL THEODRINE TRANSDERM-NI DUONEB THEO-DUR TRIDIL DYFLEX THEO-DUR SPR DYLINE-GG THEOLAIR-SR DYLIX THEOLATE S/A DYPHYLLIN-GG THEOLIXIR ED-BRON G THEOMAR GG ELIXOPHYL GG THEOPHYL KI ELIXOPHYL KI THEOPHYL/D5W ELIXOPHYLLIN THEORAL EMFASEEM THEO-VENT EQUIBRON G THEO-X FLUNISOLIDE THSC THEOPHY GUIAPHED TILADE HYDROPHED TORNALATE INTAL TORNALATE IN INTAL 112 TORNALATE RF INTAL 200 T-PHYL INTAL INH TRUPHYLLINE IOPHYLLINE TRUXOPHYLLIN ISOLATE CPD UNI-DUR ISOPROT CPD UNIPHYL ISUPREL VANCERIL ISUPREL GLOS VANCERIL DS ISUPREL MIST VAPONEFRIN KIE VENTOLIN LUFYLLIN VENTOLIN HFA LUFYLLIN-EPG VENTOLIN ROT LUFYLLIN-GG VOLMAX MARAX V-R BRONCHIA MARAX DF XOLAIR MAXAIR INH XOPENEX MEDIHAL-ISO XOPENEX CONC METAPREL XOPENEX HFA METAPREL INH METAPROTEREN ASTHMA SUPPLIES (asthma) MICRONEFRIN AEROCHAMBER MOXY CPD ASSESS PEAK MUDRANE FLOW MUDRANE-GG BREATHANCER MUDRANE-GG-2 ELLIPSE NEOTHYLLINE EZ-SPACER NEPHRON INSPIREASE NORISODRINE MICROCHAMBER NUPHYLL-GG NEBULIZER OSCO BRONCH OPTIHALER OXTRIPHYLLIN PEAK FLOW METER PANFIL-G PHYLLOCONTIN ANTI-ANGINAL AGENTS (heart disease) PRIMATENE DILATRATE SR NITROSTAT AMYL NITRITE PROVENTIL RE DIPYRIDAMOLE BIDIL PULMICORT TU ISOCHRON DEPONIT QUADRINAL ISOSORB DIN I.S.D. QUIBRON ISOSORB MONO IMDUR QUIBRON-300 NITREK ISMO QUIBRON-T NITROGLYCER ISORDIL QUIBRON-T SR NITROGLYCERIN ISORDIL TEMB QVAR NITROGLYCERN ISOTRATE ER RA BRONCHIAL NITROQUICK MINITRAN RESPBID NITROTAB MI-TRATES RESPIROL NITRO-TIME MONOKET S-2 NITRO-TRANSD NITRO SAV-ON BRONC NITRO-BID SB BRONCHIAL NITROBID SLO-BID GYRO NITROCINE SLO-PHYLLIN NITROCOT SOLU-PHYL GG NITRODISC SOMOPHYLLIN NITRO-DUR SPIRIVA NITROGARD SUS-PHRINE NITROGLYN T.E.P. NITROL THEO 250 NITROLIN THEO/EPHE/PB NITROLINGUAL THEO/HYD/EPH Please remember that this is not a complete list of medications covered under your plan. Because there are thousands of medications included in your pharmacy benefit, we only list the most common ones. If you have any questions about your pharmacy benefit, please visit Aetna's secure website at www.aetna.com. If you don't have access to our website, call the Member Services number on your ID card.