Avon $0 Copay Drug List

ALLERGY CLONIDINE PROPRANOLOL HCL CETIRIZINE HCL CLONIDINE HCL/CHLORTHALIDONE PROPRANOLOL HCL CR LEVOCETIRIZINE DIHYDROCHLORIDE DILTIAZEM CD PROPRANOLOL HCL ER DILTIAZEM HCL PROPRANOLOL HCL LA ASTHMA DILTIAZEM HCL ER PROPRANOLOL/HYDROCHLOROTHIAZIDE ALBUTEROL SULFATE DILTIAZEM HCL SR QUINAPRIL HCL ALBUTEROL SULFATE ER DILTIAZEM HCL XR QUINAPRIL/HYDROCHLOROTHIAZIDE ALBUTEROL SULFATE/IPRATROPIUM DILTIAZEM HCL XT RAMIPRIL AMINOPHYLLINE DOXAZOSIN MESYLATE RESERPINE BUDESONIDE ENALAPRIL MALEATE SOTALOL HCL CROMOLYN SODIUM ENALAPRIL SPIRONOLACTONE DYPHYLLINE MALEATE/HYDROCHLOROTHIAZIDE SPIRONOLACTONE/HYDROCHLOROTHIAZIDE DYPHYLLINE GG ENALAPRILAT TERAZOSIN HCL EPHEDRINE SULFATE ESMOLOL HCL TIMOLOL MALEATE EPINEPHRINE BITARTRATE FELODIPINE TORSEMIDE EPINEPHRINE HCL FELODIPINE ER TRANDOLAPRIL GUAIFENESIN/DYPHYLLINE FOSINOPRIL SODIUM TRANDOLAPRIL/VERAPAMIL HCL GUAIFENESIN/THEOPHYLLINE FOSINOPRIL/HYDROCHLOROTHIAZIDE TRIAMTERENE/HYDROCHLOROTHIAZIDE IPRATROPIUM BROMIDE FUROSEMIDE VERAPAMIL HCL IPRATROPIUM BROMIDE/ALBUTEROL GUANABENZ ACETATE VERAPAMIL HCL CR SULFATE GUANFACINE HCL VERAPAMIL HCL ER LEVALBUTEROL HCL HCTZ/SPIRONOLACTONE VERAPAMIL HCL SA METAPROTERENOL SULFATE HCTZ/TRIAMTERENE VERAPAMIL HCL SR RACEPINEPHRINE HCL HYDRALAZINE HCL TERBUTALINE SULFATE HYDROCHLOROTHIAZIDE BREAST CANCER THEOPHYLLINE INDAPAMIDE ANASTROZOLE THEOPHYLLINE ANHYDROUS ISRADIPINE ARIMIDEX THEOPHYLLINE ANHYDROUS CR LABETALOL HCL AROMASIN THEOPHYLLINE ANHYDROUS SR LISINOPRIL EXEMESTANE THEOPHYLLINE CR LISINOPRIL/HYDROCHLOROTHIAZIDE FARESTON THEOPHYLLINE ER LOSARTAN POTASSIUM FEMARA THEOPHYLLINE SR LOSARTAN/HYDROCHLOROTHIAZIDE HERCEPTIN THEOPHYLLINE TD METHYCLOTHIAZIDE LETROZOLE METHYLDOPA/HYDROCHLOROTHIAZIDE NOLVADEX BLOOD PRESSURE METHYLDOPATE HCL SOLTAMOX ACEBUTOLOL HCL METOLAZONE TAMOXIFEN CITRATE AMILORIDE HCL METOPROLOL SUCCINATE ER TYKERB AMILORIDE/HYDROCHLOROTHIAZIDE METOPROLOL TARTRATE XELODA AMLODIPINE BESYLATE METOPROLOL/HYDROCHLOROTHIAZIDE AMLODIPINE BESYLATE/BENAZEPRIL MINOXIDIL CHOLESTEROL ATENOLOL MOEXIPRIL HCL CHOLESTYRAMINE ATENOLOL/CHLORTHALIDONE MOEXIPRIL/HYDROCHLOROTHIAZIDE CHOLESTYRAMINE LIGHT BENAZEPRIL HCL NADOLOL COLESTIPOL HCL BENAZEPRIL/HYDROCHLOROTHIAZIDE NADOLOL/BENDROFLUMETHIAZIDE FENOFIBRATE BETAXOLOL HCL NICARDIPINE HCL FENOFIBRATE MICRONIZED BISOPROL/HYDROCHLOROTHIAZIDE NIFEDIPINE FENOFIBRIC ACID BISOPROLOL FUMARATE NIFEDIPINE ER GEMFIBROZIL BUMETANIDE NIMODIPINE LOVASTATIN CAPTOPRIL NISOLDIPINE PRAVASTATIN SODIUM CAPTOPRIL/HYDROCHLOROTHIAZIDE NISOLDIPINE ER SIMVASTATIN CARVEDILOL PERINDOPRIL ERBUMINE LOVASTATIN CHLOROTHIAZIDE PINDOLOL PRAVASTATIN SODIUM CHLORTHALIDONE PRAZOSIN HCL SIMVASTATIN

The Avon $0 Copay Drug List should be modified as necessary or desired by the plan sponsor with the advice of counsel, if appropriate.

1 Avon $0 Copay Drug List

DIABETES ULCER ACARBOSE ATROPINE SULFATE CHLORPROPAMIDE BELLADONNA/PHENOBARBITAL GLIMEPIRIDE CHLORDIAZEPOXIDE HCL/CLIDINIUM GLIMEPIRIDEMINE BROMIDE GLIPIZIDE CIMETIDINE HCL GLIPIZIDE ER CLIDINIUM/CHLORDIAZEPOXIDE GLIPIZIDE/METFORMIN HCL DICYCLOMINE HCL GLYBURIDE DONNAPINE GLYBURIDE MICRONIZED FAMOTIDINE GLYBURIDE/METFORMIN HCL GLYCOPYRROLATE METFORMIN HCL HYOSCYAMINE SULFATE METFORMIN HCL ER HYOSCYAMINE SULFATE CR NATEGLINIDE HYOSCYAMINE SULFATE ER TOLAZAMIDE HYOSCYAMINE SULFATE TOLBUTAMIDE IR/HYOSCYAMINE SULFATE SR HYOSCYAMINE SULFATE SR HYOSCYAMINE SULFATE TR LANSOPRAZOLE LANSOPRAZOLE ODT METHSCOPOLAMINE BROMIDE MISOPROSTOL NIZATIDINE OMEPRAZOLE OMEPRAZOLE/SODIUM BICARBONATE PANTOPRAZOLE SODIUM PROPANTHELINE BROMIDE RANITIDINE HCL SCOPOLAMINE METHYLBROMIDE SUCRALFATE

The Avon $0 Copay Drug List should be modified as necessary or desired by the plan sponsor with the advice of counsel, if appropriate.

2