2007 Pharmacy Clinical Policy Bulletins (PCPBs) will be available online after mid-January 2007. Until then, please contact Aetna Pharmacy Management's Precertification Unit at 1-800-670-3566 for additional information or copies of the 2007 PCPBs.

Below are links to the 2006 version of the Medicare PCPBs.

The following Pharmacy Clinical Policy Bulletins relate to drugs that are among the most frequently prescribed for Aetna Medicare beneficiaries.

The full complement of Aetna's Medicare Prescription Drug Plan Pharmacy Clinical Policy Bulletins will be available soon.

ACE Inhibitors

• Accupril^® (quinapril)
• Accuretic^® (quinapril/HCTZ)
• Aceon^® (perindopril)
• Altace^® (ramipril)
• benazepril
• Capoten^® (captopril)
• Capozide^® (captopril/HCTZ)
• captopril
• enalapril
• fosinopril
• lisinopril
• Lotensin HCT^® (benazepril/HCTZ)
• Lotensin^® (benazepril)
• Mavik^® (trandolapril)
• Monopril HCT^® (fosinopril/HCTZ)
• Monopril^® (fosinopril)
• Prinivil^® (lisinopril)
• Prinzide^® (lisinopril/HCTZ)
• quinapril
• quinaretic
• Uniretic^® (moexipril/HCTZ)
• Univasc^® (moexipril)
• Vaseretic^® (enalapril/HCTZ)
• Vasotec^® (enalapril)
• Zestorectic^® (lisinopril/HCTZ)
• Zestril^® (lisinopril)

Analgesics

• meperidine
• pentazocine/acetaminophen
• propoxyphene HCl
• propoxyphene/aspirin/caffeine
• propoxyphene napsylate/APAP
• butorphanol nasal spray
• pentazocine/naloxone
• Avinza^® (morphine SR)
• Bancap-HC^® (hydrocodone/APAP)
• Capital/Codeine^® (codeine/APAP)
• Combunox^® (oxycodone 5mg/ibuprofen 400mg)
• Darvocet-N^® (propoxyphene napsylate/APAP)
• Darvon Compound^® (aspirin/ propoxyphene/caffeine)
• Demerol^® (meperidine)
• Dilaudid^® inj (hydromorphone)
• Dolophine^® (methadone)
• Fioricet/Codeine^® (butalbital/APAP/caffeine/codeine)
• Fiorinal/Codeine^® (butalbital/aspirin/caffeine/codeine)
• Lorcet^®/Lorcet HD^®/Lorcet Plus^® (hydrocodone/APAP)
• Lortab^® (hydrocodone/APAP)
• Maxidone^® (hydrocodone/acetaminophen)
• MS Contin^® (morphine sulfate er)
• Norco^® (hydrocodone/APAP)
• Oramorph^® SR (morphine sulfate er)
• Percocet^® (oxycodone/acetaminophen)
• Percocet^® 2.5/325 (oxycodone/acetaminophen)
• Percodan^® (oxycodone/aspirin)
• Reprexain^® (hydrocodone/ibuprofen)
• Roxicet^® (oxycodone/acetaminophen)
• Stadol NS^® (butorphanol nasal spray)
• Synalgos^® DC (dihydrocodeine/APAP/caffeine
• Talacen^® (pentazocine/APAP)
• Talwin NX^® (pentazocine/naloxone)
• Trycet^® (propoxyphene/APAP)
• Tylenol #3^® (codeine/APAP)
• Tylox^® (oxycodone/APAP)
• Ultracet^® (tramadol/APAP)
• Ultram^® (tramadol)
• Ultram ER^® (tramadol)
• Vicodin/Vicodin ES^® (hydrocodone/APAP)
• Vicodin HP^® (hydrocodone/APAP)
• Vicoprofen^® (hydrocodone/ibuprofen)
• Wygesic^® (propoxyphene/APAP)
• Xodol^® (hydrocodone/APAP)
• Zydone^® (hydrocodone/APAP)

Antidepressants

• budeprion
• bupropion, bupropion SR
• Celexa^® (citalopram)
• citalopram
• Cymbalta^® (duloxetine)
• Desyrel^® (trazodone)
• Effexor XR^® (venlafaxine SR)
• Effexor^® (venlafaxine)
• fluoxetine
• fluvoxamine
• Lexapro^® (escitalopram)
• maprotiline
• mirtazapine
• nefazodone
• paroxetine
• Paxil CR^® (paroxetine SR)
• Paxil^® (paroxetine)
• Pexeva^® (paroxetine)
• Prozac^® (fluoxetine)
• Prozac^® Weekly (fluoxetine)
• Rapiflux^® (fluoxetine)
• Remeron^® (mirtazapine)
• Sarafem^® (fluoxetine)
• Wellbutrin^®/Wellbutrin XL^®/Wellbutrin SR^® (bupropion)
• Zoloft^® (sertraline)

Antidiabetic Agents

• Amaryl^® (glimepiride)
• chlorpropamide
• Diabenese^® (chlorpropamide)
• Diabeta^® (glyburide)
• Fortamet^® (metformin SR)
• Glucophage^®/Glucophage XL^®/Glucophage XR^® (metformin)
• Glucotrol^®/Glucotrol XL^® (glipizide)
• Glucovance^® (glyburide/metformin)
• Glycron^® (glyburide micronized)
• Glynase^® (glyburide micronized)
• Metaglip^® (metformin/glipizide)
• Micronase^® (glyburide)
• Precose^® (acarbose)
• Riomet^® (metformin)
• Tolinase^® (tolazamide)

Beta Blockers

• Betapace^® (sotalol)
• Betapace^® AF (sotalol)
• Blocadren^® (timolol)
• Cartrol^® (carteolol)
• Corgard^® (nadolol)
• Corzide^® (nadolol/ bendroflumethiazide)
• Inderal^® (propranolol)
• Inderal LA^® (propranolol ER)
• Inderide^® (propranolol/hydrochlorothiazide)
• Innopran XL^® (propranolol)
• Kerlone^® (betaxolol)
• Levatol^® (penbutolol)
• Lopressor^® (metoprolol)
• Lopressor HCT^® (metoprolol/hydrochlorothiazide)
• Normodyne^® (labetalol)
• Sectral^® (acebutolol)
• Tenoretic^® (atenolol/chlorthalidone)
• Tenormin^® (atenolol)
• Timolide^® (timolol/hydrochlorothiazide)
• Trandate^® (labetalol)
• Zebeta^® (bisoprolol)
• Ziac^® (bisoprolol/hydrochlorothiazide)

Calcium Channel Blockers – Dihydropyridines

• felodipine
• nifedical XL
• nifedipine
• nifedipine CR/ER
• Norvasc^® (amlodipine)
• Adalat CC^® (nifedipine er)
• Cardene^® (nicardipine)
• Cardene SR^® (nicardipine sr)
• Dynacirc CR^® (isradipine cr)
• Dynacirc^® (isradipine)
• Plendil^® (felodipine)
• Procardia^® (nifedipine)
• Procardia XL^® (nifedipine er)
• Sular^® (nisoldipine)

Calcium Channel Blockers – Non-Dihydropyridines

• Cartia xt^® (diltiazem sr)
• Diltia xt^® (diltiazem sr)
• diltiazem
• diltiazem CD/CR/ER/XT
• diltiazem extended release beads SR
• Taztia xt^® (diltiazem er beads)
• verapamil CR/ER/SR
• Cardizem LA^® (diltiazem sr)
• Calan^® (verapamil)
• Calan SR^® (verapamil cr)
• Cardizem^® (diltiazem)
• Cardizem CD^® (diltiazem sr)
• Covera HS^® (verapamil sr)
• Dilacor XR^® (diltiazem sr)
• Isoptin SR^® (verapamil cr)
• Tiazac^® (diltiazem er beads)
• Verelan^® (verapamil)
• Verelan PM^® (verapamil sr)

Diuretics

• Aldactone^® (spironolactone)
• Bumex^® (bumetanide)
• Demadex^® (torsemide)
• Dyrenium^® (triamterene)
• Dyazide^® (triamterene and HCTZ)
• Edecrin^® (ethacrynic acid)
• Enduron^® (methyclothiazide)
• Inspra^® (eplerenone)
• Lasix^® (furosemide)
• Lozol^® (indapamide)
• Maxzide^® (triamterene and HCTZ)
• Midamor^® (amiloride)
• Moduretic^® (amilodride and HCTZ)
• Naturetin^® (bendroflumethiazide)
• Zaroxolyn^® (metolazone)

HMG CoA Reductase Inhibitors

• Advicor^® (lovastatin/ niacin ER)
• Altoprev^® (lovastatin ER)
• Caduet^® (atorvastatin/ amlodipine)
• Crestor^® (rosuvastastin)
• Lescol XL^® (fluvastatin ER)
• Lescol^® (fluvastatin)
• Lipitor^® (atorvastatin)
• lovastatin
• Mevacor^® (lovastatin)
• Pravachol^® (pravastatin)
• Pravigard^® (pravastatin/aspirin)
• Vytorin^® (simvastatin/ ezetimibe)
• Zocor^® (simvastatin)

Proton Pump Inhibitors

• AcipHex^® (rabeprazole)
• Nexium^® (esomeprazole)
• Nexium^® I.V. (esomeprazole)
• omeprazole
• Prevacid^® (lansoprazole)
• Prevacid^® I.V. (lansoprazole)
• Prilosec^® (omeprazole)
• Protonix^® (pantoprazole)
• Protonix^® I.V. (pantoprazole)
• Zegerid^® (omeprazole IR capsule and oral suspension)

Thyroid Agents

• thyroid USP (thyroid, desiccated)
• Armour Thyroid^® (thyroid, desiccated)
• Bio-Throid^® (thyroid, pork)
• Cytomel^® (liothyronine)
• Levothroid^® (levothyroxine)
• Synthroid^® (levothyroxine)
• Thyrolar^® (liotrix)
• Unithroid^® (levothyroxine)