Brand Medications Requiring Use of a Generic First October 2010 You Can Save Money by Using Safe, Effective Generic Medications When Possible

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PFG Vistar Brand Medications Requiring Use of a Generic First October 2010 You can save money by using safe, effective generic medications when possible. According to your prescription benefit plan, in order for certain brand-name medications to be covered, you will have to try a generic medication first. The chart below tells you which kinds of drugs require you to use a generic first. This chart only provides a sample list of generic drug options and may not include all drugs available.

These preferred select Drug Class Step 1: You will have to try one Step 2: Before you can try brand drugs do not require Condition Treated* of these generic medications first: one of these brand drugs: use of a generic first: ACE Inhibitors/Angiotensin II amlodipine-benazepril Atacand/Atacand HCT Avapro/Avalide Receptor Antagonists (ARBs)/ benazepril/benazepril HCTZ Benicar/Benicar HCT Direct Renin Inhibitors/ captopril/captopril HCTZ Diovan/Diovan HCT Combinations enalapril/enalapril HCTZ Micardis/Micardis HCT High Blood Pressure fosinopril/fosinopril HCTZ Tekturna/Tekturna HCT lisinopril/lisinopril HCTZ Teveten/Teveten HCT losartan/losartan HCTZ moexipril/moexipril HCTZ quinapril/quinapril HCTZ ramipril trandolapril Antihistamines/Combinations fexofenadine Allegra-D 24 Hr Preferred select brand not Allergies fexofenadine-pseudoephedrine Clarinex/Clarinex-D available in class (60/120mg) Xyzal Beta Agonists, Short Acting (generic not available in class; Maxair ProAir HFA Asthma use of a preferred select brand Proventil HFA is required first) Ventolin HFA Xopenex HFA Bisphosphonates/Combinations alendronate Actonel with Calcium Actonel Osteoporosis Boniva Fosamax Plus D COX-2 Inhibitors/Nonsteroidal ibuprofen Arthrotec Preferred select brand not Anti-Inflammatory (NSAIDs)/ indomethacin Celebrex (excluding 400 mg) available in class Combinations meloxicam Flector Pain and Inflammation naproxen Naprelan CR (additional generic NSAIDs available) HMG-CoA Reductase Inhibitors lovastatin Advicor Lipitor (HMGs or Statins)/Combinations pravastatin Altoprev High Cholesterol simvastatin Crestor (excluding 20 mg, 40 mg) Lescol/Lescol XL Livalo Simcor Vytorin (excluding 10/80 mg)

Continued on next page PFG Vistar Brand Medications Requiring Use of a Generic First (cont.) October 2010

These preferred select Drug Class Step 1: You will have to try one Step 2: Before you can try brand drugs do not require Condition Treated* of these generic medications first: one of these brand drugs: use of a generic first: Hypnotics, Nonbenzodiazepine/ zaleplon Edluar Ambien CR Melatonin Receptor Agonist zolpidem Lunesta Insomnia/Sleep Problems Rozerem Nasal Steroids flunisolide nasal Beconase AQ Nasonex Allergies fluticasone nasal Nasacort AQ Omnaris Rhinocort Aqua Veramyst Proton Pump Inhibitors (PPIs) lansoprazole Aciphex Preferred select brand Stomach Acid omeprazole Dexilant not available in class omeprazole-sodium bicarbonate Nexium pantoprazole Prevacid SoluTab Prilosec Packets Protonix Packets Zegerid Powder for Oral Susp Selective Serotonin Reuptake citalopram Luvox CR Lexapro Inhibitors (SSRIs) fluoxetine Pexeva Depression fluvoxamine paroxetine/paroxetine ER sertraline Urinary Antispasmodics oxybutynin/oxybutynin ER Enablex Detrol/Detrol LA Overactive Bladder/Incontinence trospium Gelnique Oxytrol Sanctura XR Toviaz Vesicare

*This list indicates the common uses for which the drug is prescribed. Some medicines are prescribed for more than one condition. Brand-name drugs not listed here may be covered by your plan without the use of a generic first. Information provided here is not a substitute for medical advice or treatment. Discuss this information with your doctor or health care provider. CVS Caremark assumes no liability for the information provided or for any diagnosis or treatment made in reliance thereon, nor is it responsible for the reliability of the content. Subject to state law restrictions. This table contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers that are not affiliated with CVS Caremark. Targeted therapeutic classes and specific drug targets are subject to change.