Maintenance drugs Drugs that are taken on a regular basis - Maintenance medicine list - NAF Health Plans

 
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Maintenance
              drugs

          Drugs that are taken on a regular basis
               2019 Maintenance medicine list

                           aetna.com
05.03.396.1 H (08/18)
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
2019 Maintenance Medicine List
 Category                 Generic medicine                                Brand-name
                                                                               -     medicine

 Allergies                desloratadine                                   CLARINEX
                          levocetirizine

 Alzheimer’s disease      donepezil               rivastigmine            NAMENDA
                          galantamine                                     NAMZARIC

 Antipsychotics           loxapine                paliperidone            ABILIFY               ORAP
                          olanzapine              risperidone             EQUETRO               REXULTI
                          olanzapine/fluoxetine   thiothixene             LATUDA                SEROQUEL XR
                                                  ziprasidone

 Antivirals:              abacavir                lamivudine/zidovudine   APTIVUS               PREZISTA
 Human                    abacavir/lamivudine     lopinavir/ritonavir     ATRIPLA               RESCRIPTOR
 immunodeficiency virus   abacavir/lamivudine     nevirapine              COMBIVIR              RETROVIR
 (HIV)                      /zidovudine           nevirapine ER           COMPLERA              REYATAZ
                          didanosine              stavudine               CRIXIVAN              SELZENTRY
                          lamivudine              zidovudine              DESCOVY               STRIBILD
                                                                          EDURANT               SUSTIVA
                                                                          EMTRIVA               TIVICAY
                                                                          EPIVIR                TRIUMEQ
                                                                          EPZICOM               TRIZIVIR
                                                                          EVOTAZ                TRUVADA
                                                                          GENVOYA               TYBOST
                                                                          INTELENCE             VIDEX
                                                                          INVIRASE              VIDEX EC
                                                                          ISENTRESS             VIRACEPT
                                                                          ISENTRESS HD          VIRAMUNE
                                                                          KALETRA               VIRAMUNE XR
                                                                          LEXIVA                VIREAD
                                                                          NORVIR                ZERIT
                                                                          ODEFSEY               ZIAGEN
                                                                          PREZCOBIX

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.
Category                 Generic medicine                                  Brand-name medicine

Attention deficit        clonidine ER                                      STRATTERA
hyperactivity            guanfacine ER
disorder (ADHD)

Blood modifiers          anagrelide                  dipyridamole          AGGRENOX         ZONTIVITY
                         cilostazol                  pentoxifylline        BRILINTA
                         clopidogrel                 ticlopidine           EFFIENT

Cancer                    anastrozole                letrozole             FARESTON
                          exemestane                 tamoxifen

Contraceptives/hormone    estradiol                  ethinyl estradiol-    BEYAZ             FEMHRT
replacement               estradiol estropipate        levonorgestrel      CENESTIN          LO LOESTRIN
                          estradiol gel               ethinyl estradiol-   CLIMARA PRO       MENEST
                          estradiol transdermal         norelgestromin     COMBIPATCH        NATAZIA
                          ethinyl                     ethinyl estradiol-   ENJUVIA           NUVARING
                            estradiol-desogestrel       norethindrone      ESTRING           PREMARIN
                          ethinyl                     ethinyl estradiol    EVAMIST           PREMPRO
                            estradiol-drospirenone      norgestimate       FALESSA           SAFYRAL
                          ethinyl                     ethinyl estradiol-
                            estradiol-ethynodiol        norgestrel
                                                      raloxifene

Depression               bupropion                   nefazodone            APLENZIN
                         citalopram                  paroxetine            BRINTELLIX
                         desvenlafaxine              sertraline            FETZIMA
                         duloxetine                  trazodone             OLEPTRO
                         escitalopram                venlafaxine           VIIBRYD
                         fluoxetine
                         fluvoxamine
                         mirtazapine

Diabetes                 acarbose                    nateglinide           ADLYXIN           NESINA
                         chlorpropamide              pioglitazone          AVANDIA           ONGLYZA
                         glimepiride                 repaglinide           BYDUREON          SYMLIN
                         glipizide                   tolazamide            BYETTA            SYNJARDY
                         glyburide                   tolbutamide           CYCLOSET          SYNJARDY XR
                         metformin                                         FARXIGA           TANZEUM
                                                                           GLYSET            TRADJENTA
                                                                           INSULIN           TRULICITY
                                                                           INVOKANA          VICTOZA
                                                                           JANUVIA
                                                                           JARDIANCE

Diabetes: Combinations    glipizide/metformin        pioglitazone/         AVANDAMET         JUVISYNC
                          glyburide/metformin          glimepiride         AVANDARYL         KAZANO
                                                     pioglitazone/         GLYXAMBI          KOMBIGLYZE XR
                                                       metformin           INVOKAMET         OSENI
                                                                           INVOKAMET XR      PRANDIMET
                                                                           JANUMET           SOLIQUA
                                                                           JENTADUETO        XIGDUO XR
                                                                           JENTADUETO XR     XULTOPHY
Category                     Generic medicine                              Brand-name medicine

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

Digestive enzymes            pancrelipase                                  CREON             ZENPEP
                                                                           PANCREAZE

Diuretics                    acetazolamide         hydrochlorothiazide     none
                             amiloride               (HCTZ)
                             chlorthalidone        methazolamide
                             dyrenium              spironolactone

Diuretics: Combinations      HCTZ/spironolactone                           none
                             HCTZ/triamterene

Enlarged prostate            alfuzosin             tamsulosin              AVODART           JALYN
                             finasteride           terazosin               CARDURA XL        RAPAFLO

Gastrointestinal Agents      none                                          AMITIZA           TRULANCE
                                                                           LINZESS

Glaucoma                     betaxolol             latanoprost             AZOPT             SIMBRINZA
                             bimatoprost           levobunolol             COMBIGAN          TRAVATAN
                             brimonidine           methazolamide           LUMIGAN           ZIOPTAN
                             carbachol             metipranolol            RESCULA
                             carteolol             phospholine
                             dorzolamide           timolol
                             dorzolamide/timolol

Gout                         allopurinol           probenecid/colchicine   ULORIC            ZURAMPIC

Heart disease and high       benazepril            moexipril               none
blood pressure:              captopril             perindopril
Angiotensin-converting       enalapril             quinapril
enzyme (ACE) inhibitors      fosinopril            ramipril
                             lisinopril            trandolapril

Heart disease and high       candesartan           losartan                EDARBI            TEVETEN
blood pressure:              eprosartan            telmisartan
Angiotensin II receptor      irbesartan            valsartan
antagonists

Heart disease and high       amiodarone            propafenone             MULTAQ
blood pressure:              disopyramide          quinidine gluconate
Antiarrhythmics              flecainide            quinidine sulfate
                             mexiletine

Heart disease and high       acebutolol            metoprolol              BYSTOLIC
blood pressure:              atenolol              nadolol
Beta blockers                betaxolol             pindolol
                             bisoprolol            propranolol
                             carvedilol            sotalol
                             labetalol             timolol
                             levatol
Category                   Generic medicine                                     Brand-name medicine

Heart disease and high     amlodipine                  nicardipine              none
blood pressure:            diltiazem                   nifedipine
Calcium channel blockers   felodipine                  nisoldipine
                           isradipine                  verapamil

Heart disease and high      amlodipine/                irbesartan/HCTZ          AMTURNIDE           PRESTALIA
blood pressure:               atorvastatin             lisinopril/HCTZ          AZOR                TEKAMLO
Combinations               amlodipine/HCTZ             losartan/HCTZ            BENICAR HCT         TEKTURNA HCT
                           amlodipine/ valsartan       methyldopa/HCTZ          BYVALSON            TEVETEN HCT
                            amlodipine/                metoprolol/HCTZ          EDARBYCLOR          TRIBENZOR
                              valsartan/HCTZ           moexipril/HCTZ           ENTRESTO
                            atenolol/chlorthalidone    nadolol/
                            benazepril/HCTZ               bendroflumethiazide
                            bisoprolol/HCTZ            propranolol/HCTZ
                            candesartan/HCTZ           quinapril/HCTZ
                            captopril/HCTZ             telmisartan/
                            clonidine/chlorthalidone      amlodipine
                            enalapril/HCTZ             telmisartan/HCTZ
                            fosinopril/HCTZ            trandolapril/verapamil
                                                       valsartan/HCTZ

Heart disease and          clonidine                   methyldopa               BIDIL
high blood pressure:       guanfacine                  minoxidil                CORLANOR
Miscellaneous              hydralazine                 prazosin                 RANEXA
cardiovascular             isoxsuprine                 reserpine                TEKTURNA

High cholesterol           atorvastatin                lovastatin               LIPTRUZET           VYTORIN
                           cholestyramine              niacin cr                LIVALO              WELCHOL
                           colestipol                  omega-3-acid             SIMCOR              ZETIA
                           fenofibrate micronized        ethyl ester            VASCEPA
                           fluvastatin                 pravastatin
                           gemfibrozil                 rosuvastatin
                                                       simvastatin

Immune disorders           azathioprine                                         none

Inflammatory bowel         sulfasalazine                                        DIPENTUM
disease

Kidney disease             calcitriol                                           AURYXIA             RENVELA
                           calcium acetate                                      FOSRENOL            VELPHORO
                                                                                RENAGEL
Osteoporosis               alendronate                 ibandronate              ACTONEL Plus Calc   FOSAMAX D
                           calcitonin                  risedronate              BINOSTO

Overactive bladder         darifenacin                 oxytrol                  MYRBETRIQ           VESICARE
                           flavoxate                   tolterodine              TOVIAZ
                           oxybutynin                  trospium
Parkinson’s disease        benztropine                 entacapone               NEUPRO              XADAGO
                           bromocriptine               pramipexole              RYTARY
                           carbidopa                   ropinirole
                           carbidopa/levodopa          tolcapone
                           carbidopa/levodopa/         trihexyphenidyl
                             entacapone
Category                 Generic medicine                          Brand-name medicine

Respiratory agents       aminophylline            metaproterenol   ADVAIR            INCRUSE ELLIPTA
                         budesonide               montelukast      AEROSPAN          QVAR
                         cromolyn                 terbutaline      ALVESCO           SEEBRI
                         dyphylline               theophylline     ANORO ELLIPTA     SEREVENT
                         fluticasone/salmeterol   zafirlukast      ARCAPTA           SPIRIVA
                           (generic for Airduo)                    ARNUITY ELLIPTA   STIOLTO
                         formoterol                                ASMANEX             RESPIMAT
                         ipratropium                               BEVESPI           STRIVERDI
                         ipratropium/                              BREO ELLIPTA      SYMBICORT
                           albuterol                               BROVANA           TUDORZA
                                                                   DALIRESP          UTIBRON
                                                                   DULERA            ZYFLO
                                                                   FLOVENT

Rheumatoid arthritis     leflunomide                               RHEUMATREX
                                                                   RIDAURA

Seizure disorders        carbamazepine            primidone        APTIOM
                         divalproex               tiagabine        CELONTIN
                         ethosuximide             topiramate       PEGANONE
                         felbamate                topiramate ER    TROKENDI XR
                         lamotrigine              valproic acid
                         levetiracetam            zonisamide
                         oxcarbazepine
Thyroid                  levothyroxine            thyroid          THYROLAR
                         liothyronine

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

Miscellaneous            cevimeline               riluzole         BRISDELLE         NASCOBAL
                         ergoloid mesylate        ursodiol         CUVPOSA           NUEDEXTA
                         pilocarpine                               DUAVEE            SAVELLA
                                                                                     XIIDRA
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 may receive rebates, discounts and service fees from pharmaceutical
manufacturers for certain listed products. Your privacy is important to us. Our employees are trained regarding the appropriate way
to handle your private health information. 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 01, HO HGrpPol 01.

tA-15580

©2018 Aetna Inc.
                                                            aetna.com
05.03.396.1 H (08/18)
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