Plan for your best health 2020 Aetna Pharmacy Drug Guide Aetna Standard Plan 05.02.472.1 (01/01) aetna.com Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). Aetna Pharmacy Management refers to an internal business unit of Aetna Health Management, LLC. Aetna Pharmacy Management administers, but does not offer, insure or otherwise underwrite the prescription drug benefits portion of your health plan and has no financial responsibility therefor. 2020 Pharmacy Drug Guide - Aetna Standard Plan Table of Contents INFORMATIONAL SECTION..................................................................................................................8 *5-HT4 RECEPTOR AGONISTS*** - DRUGS FOR THE STOMACH.................................................. 8 *ADENOSINE RECEPTOR ANTAGONIST*** - DRUGS FOR THE NERVOUS SYSTEM............... 8 *ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS* - DRUGS FOR THE NERVOUS SYSTEM...................................................................................................................................8 *AGENTS FOR NARCOTIC WITHDRAWAL*** - DRUGS FOR ADDICTION.................................9 *AGENTS FOR OPIOID WITHDRAWAL*** - DRUGS FOR ADDICTION......................................10 *ALTERNATIVE MEDICINES* - VITAMINS AND MINERALS....................................................... 10 *AMEBICIDES* - DRUGS FOR INFECTIONS.....................................................................................10 *AMINOGLYCOSIDES* - DRUGS FOR INFECTIONS.......................................................................10 *AMINOMETHYLCYCLINES*** - DRUGS FOR INFECTIONS....................................................... 10 *ANALGESICS - ANTI-INFLAMMATORY* - DRUGS FOR PAIN AND FEVER............................10 *ANALGESICS - NONNARCOTIC* - DRUGS FOR PAIN AND FEVER.......................................... 14 *ANALGESICS - OPIOID* - DRUGS FOR PAIN AND FEVER.......................................................... 16 *ANDROGENS-ANABOLIC* - HORMONES........................................................................................20 *ANORECTAL AGENTS* - RECTAL PREPARATIONS..................................................................... 21 *ANTACIDS* - DRUGS FOR THE STOMACH.....................................................................................21 *ANTHELMINTICS* - DRUGS FOR INFECTIONS............................................................................ 21 *ANTIANGINAL AGENTS* - DRUGS FOR THE HEART................................................................. 22 *ANTIANXIETY AGENTS* - DRUGS FOR THE NERVOUS SYSTEM.............................................22 *ANTIARRHYTHMICS* - DRUGS FOR THE HEART....................................................................... 23 *ANTIASTHMATIC AND BRONCHODILATOR AGENTS* - DRUGS FOR THE LUNGS............ 23 *ANTICOAGULANTS - MISC.*** - DRUGS FOR THE BLOOD........................................................ 26 *ANTICOAGULANTS* - DRUGS FOR THE BLOOD..........................................................................26 *ANTICONVULSANTS* - DRUGS FOR THE NERVOUS SYSTEM.................................................. 27 *ANTIDEMENTIA AGENT COMBINATIONS*** - DRUGS FOR THE NERVOUS SYSTEM........29 *ANTIDEPRESSANTS* - DRUGS FOR THE NERVOUS SYSTEM....................................................29 *ANTIDIABETICS* - HORMONES........................................................................................................31 *ANTIDIARRHEAL/PROBIOTIC AGENTS* - DRUGS FOR THE STOMACH................................ 35 *ANTIDIARRHEALS* - DRUGS FOR THE STOMACH..................................................................... 35 *ANTIDOTES AND SPECIFIC ANTAGONISTS* - DRUGS FOR OVERDOSE OR POISONING...35 *ANTIDOTES* - DRUGS FOR OVERDOSE OR POISONING............................................................ 35 *ANTIEMETICS* - DRUGS FOR THE STOMACH..............................................................................36 *ANTIFUNGALS* - DRUGS FOR INFECTIONS.................................................................................37 *ANTIHEMOPHILIC PRODUCTS - MONOCLONAL ANTIBODIES*** - DRUGS FOR THE BLOOD...................................................................................................................................................... 37 *ANTIHISTAMINES* - DRUGS FOR THE LUNGS.............................................................................37 *ANTIHYPERLIPIDEMICS MISC. COMBINATIONS*** - DRUGS FOR THE HEART..................38 *ANTIHYPERLIPIDEMICS* - DRUGS FOR THE HEART.................................................................38 *ANTIHYPERTENSIVES* - DRUGS FOR THE HEART..................................................................... 40 *ANTI-INFECTIVE AGENTS - MISC.* - DRUGS FOR INFECTIONS...............................................42 *ANTIMALARIALS* - DRUGS FOR INFECTIONS............................................................................ 43 *ANTIMYASTHENIC AGENTS* - DRUGS FOR NERVES AND MUSCLES....................................43 *ANTIMYASTHENIC/CHOLINERGIC AGENTS* - DRUGS FOR NERVES AND MUSCLES.......43 *ANTIMYCOBACTERIAL AGENTS* - DRUGS FOR INFECTIONS................................................ 43 *ANTINEOPLASTIC - FGFR KINASE INHIBITORS*** - DRUGS FOR CANCER......................... 44 TOC-3 *ANTINEOPLASTIC - TROPOMYOSIN RECEPTOR KINASE INHIBITORS*** - DRUGS FOR CANCER....................................................................................................................................................44 *ANTINEOPLASTIC - XPO1 INHIBITORS*** - DRUGS FOR CANCER.......................................... 44 *ANTINEOPLASTIC OR PREMALIGNANT LESION AGENT - COMB*** - DRUGS FOR CANCER....................................................................................................................................................44 *ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES* - DRUGS FOR CANCER......................44 *ANTI-OBESITY AGENT COMBINATIONS** - DRUGS FOR EATING DISORDERS...................49 *ANTIPARKINSON AGENTS* - DRUGS FOR THE NERVOUS SYSTEM....................................... 49 *ANTIPSORIATIC COMBINATIONS*** - DRUGS FOR THE SKIN................................................. 50 *ANTIPSYCHOTICS/ANTIMANIC AGENTS* - DRUGS FOR THE NERVOUS SYSTEM..............50 *ANTIRETROVIRALS ADJUVANTS*** - DRUGS THAT ALTER METABOLISM.........................52 *ANTISENSE OLIGONUCLEOTIDE (ASO) INHIBITOR AGENTS*** - HORMONES....................52 *ANTISEPTICS & DISINFECTANTS* - ANTISEPTICS AND DISINFECTANTS.............................52 *ANTIVIRALS* - DRUGS FOR INFECTIONS..................................................................................... 52 *ANTI-VON WILLEBRAND FACTOR AGENTS*** - DRUGS FOR THE BLOOD.......................... 55 *ASSORTED CLASSES* - VITAMINS AND MINERALS.................................................................... 55 *ATOPIC DERMATITIS - MONOCLONAL ANTIBODIES*** - DRUGS FOR THE LUNGS.......... 56 *BACTERIAL MONOCLONAL ANTIBODIES*** - BIOLOGICAL AGENTS................................... 56 *B-COMPLEX W/ E & FOLIC ACID*** - DRUGS FOR NUTRITION................................................57 *BETA BLOCKER & ANGIOTENSIN II RECEPTOR ANTAGONIST COMB*** - DRUGS FOR THE HEART............................................................................................................................................. 57 *BETA BLOCKERS* - DRUGS FOR THE HEART...............................................................................57 *BIGUANIDE-DIABETIC SUPPLIES COMBINATIONS*** - HORMONES......................................58 *BILE ACID SYNTHESIS DISORDER AGENTS*** - DRUGS FOR THE STOMACH.....................58 *BIOLOGICALS MISC* - BIOLOGICAL AGENTS...............................................................................58 *CALCITONIN GENE-RELATED PEPTIDE (CGRP) RECEPTOR ANTAG*** - DRUGS FOR THE NERVOUS SYSTEM........................................................................................................................58 *CALCIUM CHANNEL BLOCKERS* - DRUGS FOR THE HEART..................................................58 *CARDIOTONICS* - DRUGS FOR THE HEART.................................................................................59 *CARDIOVASCULAR AGENTS - MISC.* - DRUGS FOR THE HEART........................................... 60 *CEPHALOSPORINS* - DRUGS FOR INFECTIONS.......................................................................... 61 *CHEMICALS*......................................................................................................................................... 61 *CIC AGENTS - GUANYLATE CYCLASE-C (GC-C) AGONISTS*** - DRUGS FOR THE STOMACH................................................................................................................................................ 62 *CONTRACEPTIVES* - DRUGS FOR WOMEN...................................................................................62 *CORTICOSTEROIDS* - HORMONES..................................................................................................68 *COUGH/COLD/ALLERGY* - DRUGS FOR THE LUNGS................................................................ 70 *CYCLIN-DEPENDENT KINASES (CDK) INHIBITORS*** - DRUGS FOR CANCER...................71 *CYSTIC FIBROSIS AGENT - COMBINATIONS*** - DRUGS FOR THE LUNGS.......................... 71 *DERMATOLOGICALS*