Le sildénafil présent dans Kamagra exerce une inhibition réversible de la PDE5, modulant la cascade GMPc et favorisant une vasodilatation localisée. L’absorption digestive varie selon la forme utilisée, comprimés classiques ou gels oraux. La distribution tissulaire est large et la liaison protéique élevée, avoisinant 96 %. La métabolisation hépatique génère un métabolite actif contribuant à l’effet pharmacologique global. La demi-vie reste courte, avec disparition plasmatique en quelques heures. Les interactions significatives concernent surtout les nitrés organiques et inhibiteurs puissants du CYP3A4. Dans les publications techniques, kamagra en ligne est souvent cité dans le cadre d’analyses comparatives portant sur les différences de formulations et de cinétique d’absorption.

Individual step therapy criteria-2014

Health Insurance Exchanges Essential Drug List Individual (Public ) Drugs that Require Step Therapy
LABEL NAME
CRITERIA
A documented trial of one month of one of the covered alternatives: ADAPALENE, BENZOYL PEROXIDE/ERYTHROMYCIN, BENZOYL PEROXIDE/CLINDAMYCIN, TRETINOIN A documented trial of one month of one of the covered alternatives: ADAPALENE, BENZOYL PEROXIDE/ERYTHROMYCIN, BENZOYL PEROXIDE/CLINDAMYCIN, TRETINOIN A documented trial of one month of the covered alternative: OXANDROLONE A documented trial of one month of one of the covered alternatives: EPROSARTAN, IRBESARTAN, LOSARTAN, IRBESARTAN/HCTZ, LOSARTAN/HCTZ, VALSARTAN/HCTZ, CANDESARTAN, CANDESARTAN/HCTZ A documented trial of one month of one of the covered alternatives: ENOXAPARIN, FONDAPARINUX A documented trial of one month of one of the covered alternatives: buproprion/ SR/ XL, citalopram, escitalopram, fluvoxamine, fluoxetine, mirtazapine/ ODT, paroxetine/ CR, sertraline, venlafaxine, or venlafaxine SR A documented trial of one month of one of the covered alternatives: buproprion/ SR/ XL, citalopram, escitalopram, fluvoxamine, fluoxetine, mirtazapine/ ODT, paroxetine/ CR, sertraline, venlafaxine, or venlafaxine SR A documented trial of one month of one of the covered alternatives: buproprion/ SR/ XL, citalopram, escitalopram, fluvoxamine, fluoxetine, mirtazapine/ ODT, paroxetine/ CR, sertraline, venlafaxine, or venlafaxine SR A documented trial of one month of one of the covered alternatives: MONTELUKAST, ZAFIRLUKAST A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN A documented trial of one month of one of the covered alternatives: HALOPERIDOL, LOXAPINE, CHLORPROMAZINE, FLUPHENAZINE, PERPHENAZINE,PROCHLORPERAZINE, THIORIDAZINE HCL, TRIFLUOPERAZINE HCL, A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE A documented trial of one month of the covered alternative: PIOGLITAZONE A documented trial of one month of the covered alternative: SELEGILINE HCL A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN A documented trial of one month of the covered alternative: ZOLEDRONIC ACID MONOHYDRATE A documented trial of one month of the covered alternative: ZOLEDRONIC ACID MONOHYDRATE A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE A documented trial of one month of the covered alternative : CALCIPOTRIENE A documented trial of one month of the covered alternative : CALCIPOTRIENE A documented trial of one month of the covered alternative : CALCIPOTRIENE A documented trial of one month of the covered alternative : CALCIPOTRIENE A documented trial of one month of the covered alternative : CALCIPOTRIENE A documented trial of one week or one course of the covered alternatives: HYDROCORTISONE ACETATE and UREA A documented trial of one month of one of the covered alternatives: ETHOSUXIMIDE, ZONISAMIDE A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON A documented trial of one month of the covered alternative: CHOLESTYRAMINE A documented trial of one month of the covered alternative: CHOLESTYRAMINE A documented trial of one month of one of the covered alternatives: CIDOFOVIR, GANCICLOVIR A documented trial of one month of each of the covered alternatives: TIMOLOL and BRIMONIDINE A documented trial of one month of the covered alternative:ENTACAPONE A documented trial of one month of the covered alternative:ENTACAPONE A documented trial of one month of one of the covered alternatives: IPRATROPIUM/ SOL ALBUTEROL, IPRATROPIUM, ALBUTEROL A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS A documented trial of one week of the covered alternative: VANCOMYCIN Health Insurance Exchanges Essential Drug List Individual (Public ) Drugs that Require Step Therapy
LABEL NAME
CRITERIA
A documented trial of one month of one of the covered alternatives: APRISO A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON A documented trial of one application (1 day) of the covered alternative: LIDOCAINE-PRILOCAINE A documented trial of one month of one of the covered alternatives: phenelzine, tranylcypromine A documented trial of one month of the covered alternative: ESTRADIOL A documented trial of one month of the covered alternative: ESTRADIOL A documented trial of one month of the covered alternative: ESTRADIOL A documented trial of one month of each of the covered alternatives: ESTRADIOL, PROGESTERONE MICRONIZED CAP A documented trial of one month of each of the covered alternatives: ESTRADIOL, PROGESTERONE MICRONIZED CAP A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE A documented trial of one month of one of the covered alternatives: APRACLONIDINE, BRIMONIDINE, DORZOLAMIDE A documented trial of one month of one of the covered alternatives: LATANOPROST, TRAVOPROST A documented trial of one month of one of the covered alternatives: LATANOPROST, TRAVOPROST A documented trial of one month of one of the covered alternatives: ALLOPURINOL, PROBENECID, PROBENECID-COLCHICINE A documented trial of one month of one of the covered alternatives: ALLOPURINOL, PROBENECID, PROBENECID-COLCHICINE A documented trial of one month of one of the covered alternatives: VICTRELIS A documented trial of one month of one of the covered alternatives: PEG-INTRON A documented trial of one month of the covered alternative: BUDESONIDE SUSP A documented trial of one month of the covered alternative: BUDESONIDE SUSP A documented trial of one course (1 day) of one of the covered alternatives: LACTULOSE, PEG 3350 A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE, AND CLONIDINE, OR GUANFACINE A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE, AND CLONIDINE, OR GUANFACINE A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE, AND CLONIDINE, OR GUANFACINE A documented trial of one month of the covered alternative: LACTULOSE A documented trial of one month of one of the covered alternatives: LEVIMIR A documented trial of one month of one of the covered alternatives: LEVIMIR A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, DIHYDROERGOTAMINE NASAL SPRAY, ZOLMITRIPTAN / ZOLMITRIPTAN ODT A documented trial of two days of the preferred generic: morphine sr 24hr A documented trial of two days of the preferred generic: morphine sr 24hr A documented trial of one course (1 day) of the covered alternative: DIPHENOXYLATE/ATROPINE TAB A documented trial of one month of one of the covered alternative: EXTAVIA A documented trial of one month of one of the covered alternative: EXTAVIA A documented trial of one month of one of the covered alternative: EXTAVIA A documented trial of one month of one of the covered alternative: EXTAVIA A documented trial of one month of one of the covered alternative: EXTAVIA A documented trial of one month of one of the covered alternative: EXTAVIA A documented trial of one month of one of the covered alternatives: AMIODARONE, DISOPYRAMIDE, FLECAINIDE, MEXILETINE, PROCAINAMIDE, PROPAFENONE, QUINIDINE GL, QUINIDINE SU, SORINE, SOTALOL AF, A documented trial of one month of one of the covered alternatives: pramipexole, ropinirole / ER A documented trial of two weeks of one of the covered alternatives: DESLORATADINE, LEVOCETIRIZINE A documented trial of one month of one of the covered alternatives: LEVIMIR A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix NOVOLOG MIX INJ FLEXPEN A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix A documented trial of two weeks each of two preferred generic nonsteroidal anti-inflammatory agents: DICLOFENAC, ETODOLAC, FENOPROFEN, IBUPROFEN, INDOMETHACIN, KETOROLAC, MEFANAMIC ACID, A documented trial of two weeks each of two preferred generic nonsteroidal anti-inflammatory agents: DICLOFENAC, ETODOLAC, FENOPROFEN, IBUPROFEN, INDOMETHACIN, KETOROLAC, MEFANAMIC ACID, A documented trial of one month of the covered alternative: MODAFINIL A documented trial of one month of the covered alternative: MODAFINIL A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE Health Insurance Exchanges Essential Drug List Individual (Public ) Drugs that Require Step Therapy
LABEL NAME
CRITERIA
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE A documented trial of 3 DAYS of one of the covered alternatives: BROMFENAC, DICLOFENAC, FLURBIPROFEN, KETOROLAC A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS A documented trial of two days of one of the covered alternatives: FENTANYL PATCH, OXYCODONE, OXYMORPHONE, METHADONE, MORPHINE SULFATE SR, TRAMADOL ER A documented trial of two days of one of the covered alternatives: FENTANYL PATCH, OXYCODONE, OXYMORPHONE, METHADONE, MORPHINE SULFATE SR, TRAMADOL ER A documented trial of one month of one of the covered alternatives: Tradjenta.
A documented trial of one month of one of the covered alternatives: Tradjenta.
A documented trial of one day or one course of one of the covered alternatives: LINDANE, MALATHION, PERMETHRIN A documented trial of one day or one course of one of the covered alternatives: LINDANE, MALATHION, PERMETHRIN A documented trial of one day or one course of one of the covered alternatives: LINDANE, MALATHION, PERMETHRIN A documented trial of one course of the covered alternative: PEG-3350 A documented trial of one month of one of the covered alternatives: PEG-INTRON A documented trial of one month of one of the covered alternatives: PEG-INTRON A documented trial of one month of one of the covered alternatives: PEG-INTRON A documented trial of one month of one of the covered alternatives: ZENPEP A documented trial of one month of the covered alternative :PODOFILOX A documented trial of one month of one of the covered alternatives: gabapentin, lamotrigine, levetiracetam, oxcarbazepine, tiagabine, topiramate,zonisamide ORAPRED SOL 15MG/5ML A documented adeqiate trial of up to a month of of the covered alternative: PREDNISOLONE SODIUM PHOSPHATE A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE A documented trial of one month of the covered alternative: SILDENAFIL A documented trial of one month of the covered alternative: SILDENAFIL A documented trial of one month of the covered alternative: SILDENAFIL A documented trial of one month of the covered alternative: SILDENAFIL A documented trial of one month of the covered alternative: SILDENAFIL A documented trial of one month of one of the covered alternatives: FOSRENOL A documented trial of one month of one of the covered alternatives: RILUZOLE A documented trial of two days of one of the covered alternatives: ZALEPLON, ZOLPIDEM A documented trial of two days of one of the covered alternatives: ZALEPLON, ZOLPIDEM A documented trial of one month of one of the covered alternatives: CARISOPRODOL, CHLORZOXAZONE, CYCLOBENZAPRINE, METAXALONE, METHOCARBAMOL, ORPHENADRINE, TIZANIDINE A documented trial of one month of the covered alternative: BUPRENORPHINE/NALOXONE SL A documented trial of one month of the covered alternative: BUPRENORPHINE/NALOXONE SL A documented trial of one month of one of the covered alternatives: DANAZOL, METHITEST, TESTOSTERONE CYPIONATE, TESTOSTERONE ENANTHATE A documented trial of one week or one course of one of the covered alternatives: AMCINONIDE, BETAMETHASONE, DESONIDE, FLUTICASONE, ALCLOMETASONE A documented trial of one week or one course of one of the covered alternatives: AMCINONIDE, BETAMETHASONE, DESONIDE, FLUTICASONE, ALCLOMETASONE A documented trial of one week or one course of one of the covered alternatives: FLUCONAZOLE, ITRACONAZOLE, KETOCONAZOLE, VORICONAZOLE A documented trial of one month of one of the covered alternatives: OXYBUTYNIN, TOLTERODINE, TROSPIUM A documented trial of one month of one of the covered alternatives: OXYBUTYNIN, TOLTERODINE, TROSPIUM A documented trial of one month of one of the covered alternatives: OXYBUTYNIN, TOLTERODINE, TROSPIUM A documented trial of one month of one of the covered alternatives: CIDOFOVIR, GANCICLOVIR A documented trial of one month of one of the covered alternatives: CIDOFOVIR, GANCICLOVIR A documented trial of one month of the covered alternative: CALCITRIOL A documented trial of one month of one of the covered alternatives: CARBAMAZEPINE, DIVALPROEX SODIUM, ETHOSUXAMIDE, FOSPHENYTOIN, GABAPENTIN, LAMOTRIGINE, LEVTIRACETAM, OXCARBAZEPINE, A documented trial of two weeks of one covered alternative indicated for the member's condition: LACTULOSE,AZITHROMYCIN, CIPROFLOXACIN A documented trial of one week of the covered alternative: ACYCLOVIR OINTMENT A documented trial of one week of the covered alternative: ACYCLOVIR OINTMENT A documented trial of one month of the covered alternative: BUPROPION HCL A documented trial of one month of the covered alternative: BUPROPION HCL A documented trial of one month of the covered alternative: BUPROPION HCL

Source: http://aetnafamilyplan.net/healthcare-professionals/documents-forms/exchanges/Individual-Step-Therapy-Criteria-2014.pdf