2013 Aetna Medicare Prescription Drugs that Require Step Therapy ...

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RANEXAProducts AffectedRanexaDetailsCriteriaA documented trial of one month of one drug from any of the following, abeta-blocker or a nitrate or amlodipine6

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RANEXAProducts AffectedRanexaDetailsCriteriaA documented trial of one month of one drug from any of the following, abeta-blocker or a nitrate or amlodipine6

LIDODERMProducts Affected Lidocaine PTCH LidodermDetailsCriteriaA documented trial of one month of generic gabapentin7

Page 4: ATYPICAL ANTIPSYCHOTICProducts Affe
Page 9 and 10: SOMATOSTATIN ANALOGSProducts Affect
Page 11 and 12: SMOKING CESSATIONProducts AffectedC
Page 13: INDEXBBd Insulin Syringe Safetyglid

2013 Aetna Medicare Prescription Drugs that Require Step Therapy ...

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