2019 Preventive Medication List
This list provides examples of commonly prescribed preventive medications. It is not an all-inclusive list; only examples of medications in each category are listed. This list does not indicate coverage. Please check with your plan administrator and/or benefit information materials if you have questions on coverage. Your cost share will be determined by your plan’s drug coverage and formulary plan. Coverage prior to the deductible being met may not be provided for every dosage form of a listed medication. Please note: When a medication does not have a generic equivalent, brand names are shown in capitals in each category. If a generic is available, it is listed in lowercase.
ASTHMA/COPD ipratropium oral inhalation ibandronate ADVAIR DISKUS LONHALA MAGNAIR raloxifene ADVAIR HFA metaproterenol risedronate AEROSPAN montelukast zoledronic acid Nebulizers AIRDUO RESPICLICK CAVITIES albuterol NUCALA CLINPRO ANORO ELLIPTA PROAIR HFA GEL-KAM ARMONAIR RESPLICLICK PROAIR RESPICLICK PHOS-FLUR ARCAPTA NEOHALER QVAR PREVIDENT ARNUITY ELLIPTA SEEBRI NEOHALER sodium fluoride rinse, gel, cream, ASMANEX HFA SEREVENT DISKUS paste, tabs and drops ASMANEX TWISTHALER SPIRIVA RESPIMAT stannous fluoride rinse and gel ATROVENT HFA STIOLTO RESPIMAT BEVESPI AEROSPHERE STRIVERDI RESPIMAT COLONOSCOPY PREPARATION* SYMBICORT BREO ELLIPTA CLENPIQ BROVANA terbutaline THEO-24 MOVIPREP budesonide OSMOPREP CINQAIR theophylline TRELLEGY ELLIPTA PLENVU COMBIVENT RESPIMAT polyethylene glycol cromolyn oral inhalation TUDORZA PRESSAIR UTIBRON NEOHALER PREPOPIK DALIRESP SUPREP DULERA VENTOLIN HFA FASENRA XOLAIR FLOVENT DISKUS zafirlukast FLOVENT HFA zileuton ER FLUTICASONE/SALMETROL BONE DISEASE AND FRACTURES INCRUSE ELLIPTA alendronate Inhaler assistive devices DUAVEE ipratropium/albuterol oral FOSAMAX D inhalation BINOSTO
DL48522I (over, please) 2019 Preventive Medication List
HEART DISEASE AND STROKE HIGH BLOOD PRESSURE BETA BLOCKERS acebutolol BLOOD THINNER MEDICINES ACE INHIBITORS atenolol aspirin, 81 mg & 325 mg* benazepril betaxolol aspirin/dipyridamole ER captopril bisoprolol BEVYXXA enalapril BYSTOLIC BRILINTA fosinopril INNOPRAN XL clopidogrel lisinopril metoprolol dipyridamole moexipril nadolol DURLAZA ER perindopril propranolol ELIQUIS quinapril timolol prasugrel ramipril ticlopidine trandolapril BETA BLOCKER/DIURETIC warfarin COMBINATIONS ACE INHIBITORS/DIURETIC XARELTO atenolol/chlorthalidone COMBINATIONS ZONTIVITY bisoprolol/HCTZ benazepril/HCTZ metoprolol/HCTZ CHOLESTEROL LOWERING captopril/HCTZ nadolol/bendroflumethiazide MEDICINES enalapril/HCTZ propranolol/HCTZ fosinopril/HCTZ HMG-COA REDUCTASE lisinopril/HCTZ CALCIUM CHANNEL BLOCKERS INHIBITORS* moexipril/HCTZ amlodipine atorvastatin quinapril/HCTZ diltiazem ER fluvastatin felodipine ER LIVALO ANGIOTENSIN II RECEPTOR isradipine lovastatin ANTAGONISTS nicardipine pravastatin candesartan nifedipine ER rosuvastatin EDARBI nisoldipine ER simvastatin irbesartan verapamil losartan OTHER AGENTS olmesartan ANTARA telmisartan cholestyramine valsartan cholestyramine light colesevelam ANGIOTENSIN II RECEPTOR colestipol ANTAGONISTS/DIURETIC ezetimibe COMBINATIONS ezetimibe/simvastatin candesartan/HCTZ fenofibrate EDARBYCLOR fenofibric acid irbesartan/HCTZ gemfibrozil losartan/HCTZ niacin olmesartan/HCTZ prevalite telmisartan/HCTZ TRIGLIDE valsartan/HCTZ
DL48522I 2019 Preventive Medication List
DIURETICS MISC ANTIVIRALS VACCINATION* chlorothiazide PREVYMIS Anthrax, BCG, Cholera, chlorthalidone SYNAGIS Diphtheria, Haemophilus hydrochlorothiazide Influenza B, Hepatitis A and B, OBESITY indapamide Human Papillomavirus, Influenza, metolazone BELVIQ Japanese Encephalitis, Measles, BELVIQ XR Meningococcal, Mumps, Pertussis, OTHER HIGH BLOOD PRESSURE benzphetamine Pneumococcal, Poliovirus, Rabies, MEDICINE COMBINATIONS CONTRAVE Rotavirus, Rubella, Tetanus, amlodipine/atorvastatin diethylpropion Typhoid, Varicella, Yellow Fever, amlodipine/benazepril LOMAIRA Zoster, Zostrix (shingles) amlodipine/olmesartan phendimetrazine amlodipine/olmesartan/HCTZ phentermine VITAMINS OR MINERALS amlodipine/telmisartan SAXENDA Folic acid* amlodipine/valsartan XENICAL Prenatal vitamins amlodipine/valsartan/HCTZ Pediatric multivitamins with SMOKING-CESSATION* BYVALSON fluoride* PRESTALIA bupropion SR 150mg trandolapril/verapamil CHANTIX NICOTROL MALARIA NICODERM CQ atovaquone/proguanil nicotine gum, lozenges and chloroquine patches mefloquine PRIMAQUINE
*Please note that some of these medicines may be covered by your plan at 100% as required by the Affordable Care Act (ACA).
Express Scripts manages your prescription benefit for your employer, plan sponsor, or health plan. For specific questions on coverage, please call the phone number on your member ID card or visit our website express-scripts.com. © 2019 Express Scripts. All Rights Reserved. Express Scripts and the “E” Logo are trademarks of Express Scripts Strategic Development, Inc. All other trademarks are the property of their respective owners.
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