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Maintenance Medications

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Maintenance Medications MAINTENANCE MEDICATIONS Stay covered – fill your medication in a 90-day supply With the Cigna 90 NowSM program, your plan requires you to fill certain maintenance medications in a 90-day (or 3-month) supply1 at an in-network pharmacy that’s approved to fill 90-day prescriptions. These are the medications you take on a regular basis to treat an ongoing health condition like diabetes, high blood pressure, high cholesterol or asthma. About this drug list. Choose the pharmacy that’s most This document shows the maintenance medications convenient for you. Retail or home 5 you have to fill in a 90-day supply as of January 1, delivery. 2,3 2021. All of these medications are approved by the There are thousands of retail pharmacies in your plan’s U.S. Food and Drug Administration (FDA). Medications network. They include local pharmacies, grocery stores, are listed alphabetically by the condition they treat. retail chains and wholesale warehouse stores – all Brand name medications are capitalized and generic places where you may already shop. To find a retail medications are lowercase. This list is updated often pharmacy in your plan’s network that’s approved to fill so it’s important to know that this is not a complete 90-day supplies, go to Cigna.com/Rx90network. list of the medications your plan covers. Also, your You can also use our home delivery pharmacy, if your specific plan may not cover all of the medications in plan allows.5 Home delivery is a convenient option this document. when you’re taking a medication on a regular basis to treat an ongoing health condition. Call 800.835.3784 to get started. A 90-day supply helps make life easier. You’ll make fewer trips to the pharmacy for refills. And you’re more likely to stay healthy because with a 90-day supply on-hand, you’re less likely to miss a dose.4 Offered by Cigna Health and Life Insurance Company or its affiliates. 886517 k Cigna90Now 09/20 Maintenance medications DRUG CLASS MEDICATION NAME DRUG CLASS MEDICATION NAME ALLERGY/NASAL SPRAYS azelastine ANXIETY/DEPRESSION/BIPOLAR Cymbalta azelastine-fluticasone DISORDER (Continued) desipramine Beconase AQ desvenlafaxine ER Dymista doxepin flunisolide Drizalma Sprinkle fluticasone duloxetine ipratropium Effexor XR mometasone Equetro Nasonex escitalopram olopatadine Fetzima Omnaris fluoxetine Patanase fluoxetine DR QNASL fluvoxamine Xhance fluvoxamine ER Zetonna Forfivo XL ALZHEIMER’S DISEASE Aricept imipramine donepezil Lexapro donepezil ODT lithium Exelon lithium ER galantamine HBR Lithobid galantamine ER maprotiline memantine mirtazapine memantine ER nefazodone Mestinon Norpramin Namenda nortriptyline Namenda XR Pamelor Namzaric paroxetine pyridostigmine paroxetine CR pyridostigmine ER paroxetine ER Razadyne Paxil Razadyne ER Paxil CR rivastigmine perphenazine-amitriptyline ANXIETY/DEPRESSION/BIPOLAR amitriptyline Pexeva DISORDER amoxapine Pristiq Anafranil protriptyline Aplenzin Prozac bupropion Remeron bupropion ER Sarafem bupropion SR sertraline bupropion XL trazodone Celexa trimipramine citalopram HBR Trintellix clomipramine venlafaxine Brand name medications are capitalized and generic medications are lowercase. 2 Maintenance medications DRUG CLASS MEDICATION NAME DRUG CLASS MEDICATION NAME ANXIETY/DEPRESSION/BIPOLAR venlafaxine ER ASTHMA/COPD/RESPIRATORY Stiolto Respimat DISORDER (Continued) Viibryd (Continued) Striverdi Respimat Wellbutrin SR Symbicort Wellbutrin XL terbutaline Zoloft Tudorza Pressair ASTHMA/COPD/RESPIRATORY Accolate Utibron Neohaler Advair Diskus Wixela Inhub Advair HFA Yupelri AirDuo RespiClick zafirlukast albuterol zileuton er Alvesco Zyflo Anoro Ellipta ATTENTION DEFICIT HYPERACTIVITY atomoxetine Arcapta Neohaler DISORDER Strattera Arnuity Ellipta BLOOD PRESSURE/HEART Accupril Asmanex MEDICATIONS Accuretic Asmanex HFA acebutolol Atrovent HFA aliskiren Bevespi Aerosphere Altace Breo Ellipta amiodarone Brovana amlodipine budesonide amlodipine-benazepril Budesonide-Formoterol amlodipine-olmesartan Combivent Respimat amlodipine-valsartan cromolyn Daliresp amlodipine-valsartan-HCTZ Duaklir Pressair Atacand Dulera Atacand HCT Flovent Diskus atenolol Flovent HFA atenolol-chlorthalidone fluticasone-salmeterol Avalide Incruse Ellipta Avapro ipratropium Azor ipratropium-albuterol benazepril Lonhala Magnair benazepril-HCTZ metaproterenol Benicar montelukast Benicar HCT Perforomist Betapace Pulmicort Betapace AF QVAR RediHaler betaxolol Seebri Neohaler Bidil Serevent Diskus bisoprolol Singulair bisoprolol-HCTZ Spiriva Bystolic Spiriva Respimat Brand name medications are capitalized and generic medications are lowercase. 3 Maintenance medications DRUG CLASS MEDICATION NAME DRUG CLASS MEDICATION NAME BLOOD PRESSURE/HEART Calan SR BLOOD PRESSURE/HEART flecainide MEDICATIONS (Continued) candesartan MEDICATIONS (Continued) fosinopril candesartan-HCTZ fosinopril-HCTZ captopril guanfacine captopril-HCTZ hydralazine Cardizem Hyzaar Cardizem CD Inderal LA Cardizem LA Inderal XL Cardura Innopran XL Cardura XL irbesartan cartia XT irbesartan-HCTZ carvedilol Isordil carvedilol ER Isordil Titradose Coreg isosorbide dinitrate Coreg CR isosorbide mononitrate Corgard isosorbide mononitrate ER Corlanor isradipine Cozaar Kapspargo Sprinkle Demser labetalol Dilatrate-SR lisinopril diltiazem tablet lisinopril-HCTZ diltiazem 12HR ER Lopressor diltiazem 24HR ER Lopressor HCT diltiazem 24HR ER (CD) losartan diltiazem 24HR ER (LA) losartan-HCTZ diltiazem 24HR ER (XL) Lotensin Dilt-XR Lotensin HCT Diovan Lotrel matzim LA Diovan HCT metoprolol tablet disopyramide metoprolol-HCTZ dofetilide metoprolol ER-HCTZ doxazosin metyrosine Dutoprol mexiletine Edarbi Micardis Edarbyclor Micardis HCT enalapril Minipress enalapril-HCTZ minitran Entresto moexipril Epaned Multaq Exforge nadolol Exforge HCT nicardipine felodipine ER nifedipine ER Brand name medications are capitalized and generic medications are lowercase. 4 Maintenance medications DRUG CLASS MEDICATION NAME DRUG CLASS MEDICATION NAME BLOOD PRESSURE/HEART nisoldipine BLOOD PRESSURE/HEART Tiadylt ER MEDICATIONS (Continued) Nitro-Dur MEDICATIONS (Continued) Tiazac nitroglycerin capsule, tablet, patch Tikosyn Nitro-Time timolol Norpace Toprol XL Norpace CR trandolapril Norvasc trandolapril-verapamil ER olmesartan Tribenzor olmesartan-HCTZ Twynsta olmesartan-amlodipine-HCTZ valsartan Pacerone valsartan-HCTZ perindopril Vaseretic pindolol Vasotec prazosin verapamil Prinivil verapamil SR Procardia XL verapamil ER propafenone verapamil ER PM propafenone ER Verelan propranolol Verelan PM propranolol ER Zestoretic propranolol-HCTZ Zestril Qbrelis Ziac quinapril BLOOD THINNERS/ANTI-CLOTTING Aggrenox quinapril-HCTZ aspirin-dipyridamole ER quinidine aspirin-omeprazole ramipril Brilinta Ranexa cilostazol ranolazine ER clopidogrel Rythmol SR dipyridamole sorine Durlaza sotalol Effient sotalol AF jantoven Sular Plavix Tarka Pradaxa taztia XT prasugrel Tekturna warfarin Tekturna HCT Yosprala telmisartan Zontivity telmisartan-HCTZ CANCER methotrexate telmisartan-amlodipine Trexall Tenoretic CHOLESTEROL MEDICATIONS Altoprev Tenormin amlodipine-atorvastatin terazosin Brand name medications are capitalized and generic medications are lowercase. 5 Maintenance medications DRUG CLASS MEDICATION NAME DRUG CLASS MEDICATION NAME CHOLESTEROL MEDICATIONS Antara CHOLESTEROL MEDICATIONS Vytorin (Continued) atorvastatin (Continued) Welchol Caduet Zetia cholestyramine Zocor cholestyramine light Zypitamag colesevelam CONTRACEPTION PRODUCTS Afirmelle Colestid Altavera colestipol Alyacen Crestor Amethia Ezallor Sprinkle Amethia Lo ezetimibe Amethyst ezetimibe-simvastatin Apri fenofibrate Aranelle fenofibric acid Ashlyna Fenoglide Aubra Fibricor Aubra EQ Flolipid Aurovela fluvastatin Aurovela FE fluvastatin ER Aurovela 24 FE Aviane gemfibrozil Ayuna Lescol XL Azurette Lipitor Balcoltra Lipofen Balziva Livalo Bekyree Lopid BeYaz lovastatin Blisovi FE Lovaza Blisovi 24 FE niacin Briellyn niacin ER Camila niacor Camrese Niaspan Camrese Lo omega-3 acid ethyl esters Caziant Pravachol Charlotte 24 FE pravastatin Chateal prevalite Chateal EQ Questran Cryselle Questran Light Cyclafem rosuvastatin Cyred simvastatin Cyred EQ Tricor Dasetta Triglide Daysee Trilipix Deblitane Vascepa desogestrel-ethinyl estradiol Brand name medications are capitalized and generic medications are lowercase. 6 Maintenance medications DRUG CLASS MEDICATION NAME DRUG CLASS MEDICATION NAME CONTRACEPTION PRODUCTS drospirenone-ethinyl CONTRACEPTION PRODUCTS levonorgestrel-ethinyl estradiol (Continued) estradiol-levomefolate (Continued) levonorgestrel-ethinyl drospirenone-ethinyl estradiol estradiol-ethinyl estradiol Elinest Levora-28 Emoquette Lillow Enpresse Lo Loestrin FE Enskyce Loestrin Errin Loestrin FE Estarylla Loryna Estrostep FE Loseasonique ethynodiol-ethinyl estradiol Low-Ogestrel Falmina Lo-Zumandimine Fayosim Femynor Lutera Generess FE Lyza Gianvi Marlissa Hailey Melodetta 24 FE Hailey 24 FE Mibelas 24 FE Heather Microgestin Incassia Microgestin FE Introvale Mili Isibloom Minastrin 24 FE Jasmiel Mircette Jencycla Mono-Linyah Jolessa Natazia Juleber Necon Junel Nikki Junel FE Nora-BE Junel FE 24 norethindrone Kaitlib FE norethindrone-ethinyl estradiol Kalliga norethindrone-ethinyl Kariva estradiol-iron Kelnor 1-35 norgestimate-ethinyl estradiol Kelnor 1-50 Kurvelo Norlyda Larin Nortrel Larin FE Ocella Larin 24 FE Orsythia Larissia Philith Layolis FE Pimtrea Leena Pirmella Lessina Portia Levonest Previfem Brand name medications are capitalized and generic medications are lowercase. 7 Maintenance medications DRUG CLASS MEDICATION NAME DRUG
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