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Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Drug Name Abacavir Sulfate Abacavir Sulfate-Lamivudine Abacavir Sulfate-Lamivudine-Zidovudine Abacavir-Dolutegravir-Lamivudine Acarbose Acebutolol HCl Alendronate HCl Fumarate Alogliptin Benzoate Alogliptin-Metformin HCl Alogliptin-Pioglitazone HCl & Amiloride HCl HCl HCl Benzoate Amlodipine Besylate Amlodipine Besylate- Amlodipine Besylate- HCl Amlodipine Besylate- Medoxomil Amlodipine Besylate- Amlodipine-Valsartan-Hydrochlorothiazide Sulfate Atazanavir Sulfate-Cobicistat Atenolol Atenolol & Chlorthalidone HCl Atorvastatin Calcium Azilsartan Medoxomil Benazepril & Hydrochlorothiazide Benazepril HCl Benztropine Mesylate Betaxolol HCl Bethanechol Chloride Bictegravir-Emtricitabine-Tenofovir Alafenamide Fumarate & Hydrochlorothiazide Bisoprolol Fumarate Bromocriptine Mesylate HCl Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Buspirone HCl Cilexetil Candesartan Cilexetil-Hydrochlorothiazide Captopril & Hydrochlorothiazide Carbidopa Carbidopa-Levodopa Carbidopa-Levodopa-Entacapone Carvedilol Phosphate HCl Chlorthalidone Cholestyramine Cholestyramine Light Choline Hydrobromide HCl HCl Clonidine HCl (ADHD) Cobicistat Colchicine w/ HCl HCl Hydrobromide Ethanolate Darunavir-Cobicistat Darunavir-Cobicistat-Emtricitabine-Tenofovir Alafenamide Delavirdine Mesylate HCl Desvenlafaxine Fumarate Desvenlafaxine Succinate Diclofenac Diclofenac Sodium Diclofenac w/ Misoprostol Didanosine HCl Diltiazem HCl Coated Beads Diltiazem HCl Extended Release Beads Phosphate Divalproex Sodium Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Dofetilide Dolutegravir Sodium Dolutegravir Sodium-Lamivudine Dolutegravir Sodium-Rilpivirine HCl Donepezil Hydrochloride Doravirine Doravirine-Lamivudine-Tenofovir Disoproxil Fumarate Mesylate HCl HCl Dutasteride Dutasteride- HCl Efavirenz-Emtricitabine-Tenofovir Disoproxil Fumarate Efavirenz-Lamivudine-Tenofovir Disoproxil Fumarate Elvitegravir-Cobicistat-Emtricitabine-Tenofovir Alafenamide Elvitegravir-Cobicistat-Emtricitabine-Tenofovir DF Emtricitabine Emtricitabine-Rilpivirine-Tenofovir Alafenamide Fumarate Emtricitabine-Rilpivirine-Tenofovir Disoproxil Fumarate Emtricitabine-Tenofovir Alafenamide Fumarate Emtricitabine-Tenofovir Disoproxil Fumarate Maleate Enalapril Maleate & Hydrochlorothiazide Enfuvirtide Entacapone Mesylate Oxalate Ethacrynic Acid Etodolac Etravirine Ezetimibe- Fenofibrate Fenofibrate Micronized Fenoprofen Calcium Finasteride Flavoxate HCl Acetate HCl Fluphenazine HCl Flurbiprofen Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Fluvastatin Sodium Maleate Calcium Sodium Fosinopril Sodium & Hydrochlorothiazide Galantamine Hydrobromide Glipizide-Metformin HCl Glyburide Glyburide Micronized Glyburide-Metformin HCl Guanfacine HCl (ADHD) Haloperidol Lactate Hydralazine HCl Hydrochlorothiazide Hydroxyzine HCl Hydroxyzine Pamoate Ibalizumab-uiyk Ibandronate Sodium HCl Imipramine Pamoate Sulfate Indomethacin Insulin Aspart Insulin Aspart (with Niacinamide) Insulin Aspart Protamine & Aspart (Human) Insulin Degludec Insulin Detemir Insulin Glulisine Insulin Lispro Insulin Lispro Protamine & Lispro Insulin NPH (Human) (Isophane) Insulin NPH Isophane & Reg (Human) Insulin Regular (Human) Irbesartan-Hydrochlorothiazide Isosorbide Dinitrate Isosorbide Mononitrate Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Isradipine Ketoprofen Labetalol HCl Lamivudine Lamivudine-Tenofovir Disoproxil Fumarate Lamivudine-Zidovudine Sodium Liothyronine Sodium Lisinopril & Hydrochlorothiazide - Potassium Losartan Potassium & Hydrochlorothiazide Succinate HCl Maraviroc Meclofenamate Sodium Meloxicam HCl Metformin HCl Methazolamide Methimazole Methyldopa Methyldopa & Hydrochlorothiazide & Hydrochlorothiazide Metoprolol Succinate Metoprolol Tartrate HCl Midodrine HCl Miglitol Moexipril HCl Molindone HCl Montelukast Sodium Nabumetone Nadolol Nadolol & Naproxen Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Naproxen Sodium Naproxen-Esomeprazole HCl HCl Mesylate Niacin (Antihyperlipidemic) HCl HCl Olmesartan Medoxomil Olmesartan Medoxomil-Amlodipine-Hydrochlorothiazide Olmesartan Medoxomil-Hydrochlorothiazide Omega-3-acid Ethyl Oxaprozin Oxybutynin Chloride Paliperidone HCl Perindopril Erbumine Perphenazine Sulfate HCl Phenytoin Sodium Extended Pindolol Pioglitazone HCl Pioglitazone HCl-Glimepiride Pioglitazone HCl-Metformin HCl Piroxicam Pramipexole Dihydrochloride Sodium HCl Probenecid Maleate HCl & Hydrochlorothiazide Propranolol HCl Propranolol HCl Sustained-Release Beads Propylthiouracil Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Protriptyline HCl Fumarate HCl Quinapril-Hydrochlorothiazide Gluconate Quinidine Sulfate HCl Raltegravir Potassium Ramipril Rasagiline Mesylate Repaglinide-Metformin HCl Rilpivirine HCl Risedronate Sodium Ritonavir Rivastigmine Tartrate Ropinirole Hydrochloride Calcium Mesylate HCl HCl Simvastatin Succinate HCl Sotalol HCl (AFIB/AFL) Spironolactone & Hydrochlorothiazide Stavudine Sulindac Tamsulosin HCl Telmisartan-Amlodipine Telmisartan-Hydrochlorothiazide Tenofovir Disoproxil Fumarate HCl HCl Thiothixene Thyroid Tiagabine HCl Timolol Maleate Tipranavir Tolcapone Drugs Covered in 90-Day Supplies During COVID-19 Emergency May 20, 2020

Tolmetin Sodium Tartrate Torsemide Trandolapril Trandolapril- HCl Sulfate HCl Triamterene & Hydrochlorothiazide HCl Trihexyphenidyl HCl Maleate Trospium Chloride Sodium Valproic Acid Valsartan Valsartan-Hydrochlorothiazide HCl Verapamil HCl Vigabatrin Zidovudine Zileuton HCl