CVS CAREMARK® MAINTENANCE DRUG LIST EFFECTIVE AS OF 12/11/2019
Maintenance drugs are prescriptions commonly used to treat conditions that are considered chronic or long-term. These conditions usually require regular, daily use of medicines. Examples of maintenance drugs are those used to treat high blood pressure, heart disease, asthma and diabetes.
Due to the large number of available medicines, this list is not all inclusive. Please note that this list does not guarantee coverage and is subject to change. Your prescription benefit plan may not cover certain products or categories, regardless of their appearance on this list. Where a generic is available, it is listed by the generic name. If no generic is available, then the brand name appears. This list represents brand products in CAPS and generic products in lower case italics.
If you have questions about your prescription benefits, please log on to your account at Caremark.com or call Customer Care at the number on your ID card.
Attention EFFIENT duloxetine ZONTIVITY escitalopram Deficit/Hyperactivity fluoxetine fluvoxamine Disorder (ADHD) Cancer mirtazapine clonidine er anastrozole nefazodone guanfacine er exemestane paroxetine STRATTERA letrozole sertraline tamoxifen trazodone Allergies FARESTON venlafaxine desloratidine APLENZIN levocetirizine Contraceptives/ FETZIMA CLARINEX OLEPTRO Hormone Replacement TRINTELLIX estradiol VIIBRYD Alzheimer’s Disease estradiol estropipate donepezil estradiol gel galantamine estradiol transdermal Diabetes rivastigmine ethinyl estradiol-desogestrel acarbose NAMENDA ethinyl estradiol-drospirenone chlorpropamide NAMZARIC ethinyl estradiol-ethynodiol glimepiride ethinyl estradiol-levonorgestrel glipizide Antipsychotics ethinyl estradiol-norelgestromin glyburide metformin loxapine ethinyl estradiol-norethindrone nateglinide olanzapine ethinyl estradiol-norgestimate pioglitazone paliperidone ethinyl estradiol-norgestrel repaglinidine risperidone raloxifene tolazamide thiothixene BEYAZ tolbutamide ziprasidone CENESTIN ADLYXIN ABILIFY CLIMARA PRO AVANDIA EQUETRO COMBIPATCH BYDUREON LATUDA ENJUVIA BYETTA ORAP ESTRING CYCLOSET REXULTI EVAMIST FARXIGA SEROQUEL XR FALESSA GLYSET FEMHRT INSULIN -Combinations IMVEXXY LO LOESTRIN INVOKANA Olanzapine/fluoxetine MENEST JANUVIA
NATAZIA JARDIANCE Blood Modifiers NUVARING NESINA anagrelide PREMARIN ONGLYZA cilostazol PREMPRO SYMLIN clopidogrel SAFYRAL SYNJARDY IR/XR dipyridamole TANZEUM pentoxifylline Depression TRADJENTA ticlopidine TRULICITY bupropion AGGRENOX VICTOZA citalopram BRILINTA desvenlafaxine
This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with CVS Caremark. ©2019 CVS Caremark. All rights reserved. 106-18393A 122319 1 of 3
-Combinations metipranolol BYSTOLIC glipizide/metformin phospholine glyburide/metformin timolol -Calcium Channel Blockers pioglitazone/glimepiride AZOPT amlodipine pioglitazone/metformin LUMIGAN diltiazem AVANDAMET RESCULA felodipine AVANDARYL TRAVATAN isradipine GLYXAMBI ZIOPTAN nicardipine INVOKAMET IR/ XR nifedipine JANUMET -Combinations nisoldipine JENTADUETO IR/ XR dorzolamide/timolol verapamil JUVISYNC COMBIGAN KAZANO SIMBRINZA -Combinations KOMBIGLYZE XR amlodipine/atorvastatin OSENI Gout amlodipine/hctz PRANDIMET amlodipine/valsartan allopurinol SOLIQUA amlodipine/valsartan/hctz probenecid/colchicine XIGDUO XR atenolol/chlorthalidone ZURAMPIC XULTOPHY benazepril/hctz bisoprolol/hctz -Test Strips/Lancets/Meters Heart Disease & High candesartan/hctz glucose meter clonidine/chlorthalidone glucose test strip Blood Pressure captopril/hctz insulin pump -Angiotensin-Converting-Enzyme enalapril/hctz insulin syringes and needles (ACE) Inhibitors fosinopril/hctz ALBUSTIX benazepril irbesartan/hctz CHEMSTRIPS captopril lisinopril/hctz NOVA MAX PLUS KETONE enalapril losartan/hctz fosinopril methyldopa/hctz Digestive Enzymes lisinopril metoprolol/hctz moexipril moexipril/hctz pancrelipase perindopril nadolol/bendroflumethiazide CREON quinapril propranolol/hctz PANCREAZE ramipril quinapril/hctz ZENPEP trandolapril telmisartan/amlodipine
telmisartan/hctz Diuretics -Angiotensin II Receptor trandolapril/verapamil acetazolamide Antagonists valsartan/hctz amiloride candesartan AMTURNIDE chlorthalidone eprosartan AZOR dyrenium irbesartan BENICAR HCT hydrochlorothiazide (hctz) losartan BYVALSON methazolamide telmisartan EDARBYCLOR spironolactone valsartan ENTRESTO EDARBI PRESTALIA -Combinations TEKAMLO hctz/spironolactone -Antiarrhythmics TEKTURNA HCT hctz/triamterene amiodarone TEVETEN HCT TRIBENZOR disopyramide
flecainide Enlarged Prostate mexiletine -Miscellaneous Cardiovascular alfuzosin propafenone clonidine finasteride quinidine gluconate guanfacine tamsulosin quinidine sulfate hydralazine terazosin MULTAQ isoxsuprine AVODART methyldopa CARDURA XL -Beta Blockers minoxidil JALYN acebutolol prazosin RAPAFLO atenolol reserpine
betaxolol BIDIL CORLANOR Glaucoma bisoprolol RANEXA Betaxolol carvedilol TEKTURNA bimatoprost labetalol brimonidine levatol carbachol metoprolol High Cholesterol carteolol nadolol atorvastatin dorzolamide pindolol cholestyramine latanoprost propranolol colestipol levobunolol sotalol fenofibrate micronized methazolamide timolol fluvastatin This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with CVS Caremark. ©2019 CVS Caremark. All rights reserved. 106-18393A 122319 2 of 3
gemfibrozil OXYTROL levetiracetam lovastatin TOVIAZ oxcarbazepine omega-3-acid ethyl ester VESICARE primidone niacin cr tiagabine pravastatin Parkinson’s Disease topiramate rosuvastatin topiramate er benztropine simvastatin valproic acid bromocriptine LIPTRUZET zonisamide carbidopa LIVALO APTIOM carbidopa/levodopa SIMCOR CELONTIN carbidopa/levodopa/entacapone VASCEPA PEGANONE entacapone VYTORIN TROKENDI XR pramipexole WELCHOL ropinirole ZETIA tolcapone Thyroid
trihexyphenidyl levothyroxine Immune Disorders NEUPRO liothyronine azathioprine RYTARY thyroid XADAGO THYROLAR Inflammatory Bowel Disease Respiratory Agents Ulcer/Gastroesophageal sulfasalazine aminophylline Reflux Disease (GERD) budesonide DIPENTUM Cimetidine cromolyn esomeprazole magnesium dyphylline famotidine tab fluticasone/salmeterol Gastrointestinal Agents lansoprazole formoterol AMITIZA nizatidine ipratropium LINZESS omeprazole ipratropium/albuterol TRULANCE omeprazole/sodium bicarbonate metaproterenol pantoprazole montelukast rabeprazole Kidney Disease terbutaline ranitidine calcitriol theophylline sucralfate calcium acetate zafirlukast ACIPHEX SPRINKLE AURYXIA ADVAIR HFA DEXILANT FOSRENOL AEROSPAN ESOMEPRAZOLE STRONTIUM RENAGEL ALVESCO
RENVELA ANORO ELLIPTA
VELPHORO ARCAPTA
ARNUITY ELLIPTA Miscellaneous ASMANEX BEVESPI cevimeline BREO ELLIPTA ergoloid mesylate BROVANA pilocarpine DALIRESP 500 mg ursodiol DULERA BRISDELLE FLOVENT CUVPOSA INCRUSE ELLIPTA DUAVEE QVAR NASCOBAL SEEBRI NUEDEXTA SEREVENT SAVELLA SPIRIVA XIIDRA STIOLTO RESPIMAT STRIVERDI Osteoporosis SYMBICORT alendronate TUDORZA calcitonin UTIBRON ibandronate ZYFLO risedronate ACTONEL Plus Calc BINOSTO Rheumatoid Arthritis FOSAMAX D leflunomide RIDAURA
Overactive Bladder darifenacin Seizure Disorders flavoxate carbamazepine oxybutynin divalproex tolterodine ethosuximide trospium felbamate MYRBETRIQ lamotrigine This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with CVS Caremark. ©2019 CVS Caremark. All rights reserved. 106-18393A 122319 3 of 3