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Closed Formulary

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 or that there is a generic version 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.

Key:
UPPERCASE = Brand-name medications	QL = Quantity limits
lower case italics = generic medications	ST = Step therapy
Tier 1, 2, 3 = Copay tier level	PR = Precertification

Date of Change: February 1, 2008 Drug Name Change Type Alternative Drugs What You Need to Know hydrocortisone Formulary addition   Tier 1 nadolol/bendroflumethiazide Formulary addition   Tier 1 OMNITROPE Formulary addition   Specialty Tier, PR oxycodone/ibuprofen Formulary addition   Tier 1, QL = 4/day PYLERA Formulary addition   Tier 2, QL = 120/365 days TEKTURNA Formulary addition   Tier 2, QL = 1/day

See the Aetna Medicare Glossary for unfamiliar terms.

See the Aetna Medicare Rx Covered Drugs page for more information about Aetna Medicare's preferred drug list (formulary).


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Updated 2/2008