Drug List Changes
2010 Aetna Medicare Rx Plan (PDP)
Here are changes from a recent review of Aetna Medicare's Preferred Drug List (formulary). They are based on findings from the Food and Drug Administration (FDA) and drug makers, and other factors including cost. Changes occur, for example, because new drugs come on the market, we may learn that a prescription drug should now have a lower dose, it's moved to a different cost-sharing level (tier), or a generic version becomes available. We change our list to help provide you with appropriate, affordable drug benefits.
Carefully review the monthly changes below and their effective dates. If you are affected by preferred drug list changes, you will receive a letter explaining the changes. You can also speak with your doctor or pharmacist about the preferred drug list changes.
View full Aetna Medicare Rx Plan (PDP) 2010 Comprehensive Formulary
(93 pages, 342 KB)
| Key: | |
|---|---|
| UPPERCASE = Brand-name medications | QL = Quantity limits |
| lower case italics = generic medications | ST = Step therapy |
| Tier 1, 2, 3, 4, 5 = Copay tier level | PR = Precertification |
Date of Change: January 1, 2010
| Drug Name | Change Type | Alternative | What You Need to Know |
|---|---|---|---|
| ULORIC | Addition | Tier 3, ST |
Date of Change: March 1, 2010
| Drug Name | Change Type | Alternative | What You Need to Know |
|---|---|---|---|
| AMINOSYN IIM INJ 3.5%/D5W | Addition | Tier 4 | |
| ARZERRA | Addition | Tier 5, PR | |
| augmented betamethasone dipropionate lotion 0.05% | Addition | Tier 2 | |
| azelastine ophth soln 0.05% | Addition | Tier 2 | |
| clindamycin phosphate-benzoyl peroxide gel 1-5% | Addition | Tier 1 | |
| FANAPT | Addition | Tier 4, PR, ST, QL=2/1 day | |
| FANAPT PAK | Addition | Tier 4, PR, ST, QL=16/365 days | |
| HALFLYTELY KIT BWL-PREP | Addition | Tier 4 | |
| INVEGA 1.5MG TABLETS | Addition | Tier 4, ST, QL=1/1 day | |
| LIPOSYN II INJ 10,20,30% | Addition | Tier 4 | |
| piperacillin sodium-tazobactam sodium for inj 3-0.375 gm | Addition | Tier 2 | |
| polyethylene glycol 3350 | Addition | Tier 1 | |
| timolol ophth gel | Addition | Tier 1 | |
| tramadol er | Addition | Tier 1, QL=1/1 day | |
| valacyclovir | Addition | Tier 1 | |
| VIBATIV | Addition | Tier 5, QL=3/1 day | |
| VOTRIENT | Addition | Tier 5, PR, QL=1/1 day |
Date of Change: May 1, 2010
| Drug Name | Change Type | Alternative | What You Need to Know |
|---|---|---|---|
| ACEON 2MG | Formulary removal | perindopril 2 mg | Generic available Tier 2, QL=2/1 day |
| ACEON 4MG | Formulary removal | perindopril 4 mg | Generic available Tier 2, QL=2/1 day |
| ACEON 8MG | Formulary removal | perindopril 8 mg | Generic available Tier 2 |
| ACULAR | Formulary removal | ketorolac 5 mg/ml | Generic available Tier 2 |
| ACULAR LS | Formulary removal | ketorolac 4 mg/ml | Generic available Tier 2 |
| CATAPRES-TTS-1 | Formulary removal | clonidine 0.00417 mg/hr | Generic available Tier 2 |
| CATAPRES-TTS-2 | Formulary removal | clonidine 0.00833 mg/hr | Generic available Tier 2 |
| CATAPRES-TTS-3 | Formulary removal | clonidine 0.0125 mg/hr | Generic available Tier 2 |
| IOPIDINE | Formulary removal | apraclonidine 5 mg/ml | Generic available Tier 2 |
| PROGRAF 1MG | Formulary removal | tacrolimus 1 mg | Generic available Tier 2, PR |
| PROGRAF 5MG | Formulary removal | tacrolimus 5 mg | Generic available Tier 2 |
| PROGRAF 0.5MG | Formulary removal | tacrolimus 0.5 mg | Generic available Tier 2, PR |
| RISPERDAL-M 1MG | Formulary removal | risperidone 1 mg | Generic available Tier 2, QL=2/1 day |
| STARLIX 60MG | Formulary removal | nateglinide 60 mg | Generic available Tier 2 |
| STARLIX 120MG | Formulary removal | nateglinide 120 mg | Generic available Tier 2 |
| SUBUTEX 2MG | Formulary removal | buprenorphine 2 mg | Generic available Tier 2, PR |
| SUBUTEX 8MG | Formulary removal | buprenorphine 8 mg | Generic available Tier 2, PR |
| TRILEPTAL SOLUTION | Formulary removal | oxcarbazepine 60 mg/ml solution | Generic available Tier 2 |
See the Aetna Medicare Glossary for unfamiliar terms.
See the Aetna Medicare Rx Find Prescriptions page for more information about Aetna Medicare's preferred drug list (formulary).
(Last updated 3/1/2010)
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