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2008 Pharmacy Managed Self-Injectable Medication List (PMSI)
Aetna Pharmacy |
Aetna Rx Home Delivery |
Aetna Specialty Pharmacy |
Preferred Drug List |
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Self-Injectable Medication List
If your plan covers PMSI drugs under the pharmacy benefit, the following drugs are available through Aetna Specialty Pharmacy after the first fill unless otherwise noted. ANTIASTHMATIC-MONOCOLONAL ANTIBODIESXolair ARTHRITIS Enbrel Humira Kineret BLOOD CLOTTING Factor VII Novoseven PR Factor VIII Advate PR Alphanate PR Genarc PR Helixate FS PR Hemofil M PR Humate-P PR Koate-DVI PR Kogenate FS PR Monarc-M PR Monoclate-P PR Recombinate PR ReFacto PR Factor IX AlphaNine SD PR Bebulin VH PR BeneFix PR Feiba VA Immuno PR Mononine PR Profilnine SD PR Proplex T PR BLOOD THINNERS Arixtra* Fragmin* Innohep* Lovenox* GROWTH HORMONE (DEFICIENCY AND OVER-PRODUCTION) Genotropin PR Humatrope PR Increlex PR Iplex PR Norditropin PR Nutropin PR Nutropin AQ PR Omnitrope PR Saizen PR Serostim PR Somavert PR Tev-Tropin PR Zorbtive PR INFERTILITY (NOTE: SOME BENEFITS PLANS MAY NOT COVER THESE MEDICATIONS) Bravelle PR Cetrotide PR chorionic gonadotropin PR Follistim AQ PR Ganirelix PR Gonal-F PR Gonal-F RFF PR Leuprolide Lupron (not Depot) Luveris PR Menopur PR Novarel PR Ovidrel PR Pregnyl PR Repronex PR MULTIPLE SCLEROSIS Avonex Betaseron Copaxone Rebif OSTEOPOROSIS Forteo PSORIASIS Enbrel Raptiva VIRAL INFECTIONS/IMMUNE SYSTEM ENHANCERS Actimmune Fuzeon Infergen PR Intron-A Pegasys PR PEG-Intron PR Roferon-A |
2008 Pharmacy Self Injectable List
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