Mandatory mail rider maintenance drug list If you have a prescription plan with the mandatory mail rider, you must obtain all long-term maintenance medications from the Express Scripts Pharmacy. Please note: This list may not include all maintenance medications and is subject to change. The list may include medications not covered by MESSA and may include medications that are subject to additional coverage rules. ALLEGRA-D APRI ALLER-EASE APTIOM ACARBOSE ALLER-FEX AQUASOL ACCOLATE ALLER-FLO ARANELLE ACCUPRIL ALLERGY ARICEPT ACCURETIC ALOGLIPTIN ARMOUR ACEBUTOLOL ALOGLIPTIN-METFORMIN ARNUITY ACEON ALORA ARTHROTEC ACETAZOLAMIDE ALPHAGAN ASCORBIC ACETYL ALPROSTADIL ASHLYNA ACIPHEX ALTACE ASMANEX ACTIGALL ALTAVERA ASPIRIN ACTIVE ALTOPREV ASPIRIN-DIPYRIDAMOLE ACTIVELLA ALVESCO ATABEX ACTIVE-PAC ALYACEN ATACAND ACTONEL AMABELZ ATELVIA ACTOPLUS AMANTADINE ATENOLOL ACTOS AMARYL ATENOLOL-CHLORTHALIDON ADALAT AMETHIA ATORVASTATIN ADEMPAS AMETHYST AUBRA ADENOCARD AMILORIDE AVALIDE ADENOSINE AMILORIDE-HYDROCHLOROT AVANDIA ADVAIR AMINOPHYLLINE AVAPRO ADVANCED AMINOSALICYLIC AVIANE AEROSPAN AMIODARONE AVODART AFEDITAB AMLODIPINE AV-VITE AGGRASTAT AMLODIPINE-ATORVASTATI AYGESTIN AGGRENOX AMLODIPINE-VALSARTAN AZILECT ALBUTEROL AMLODIPINE-OLMESARTAN AZOPT ALDACTAZIDE ANAPROX AZOR ALDACTONE ANGELIQ AZULFIDINE ALENDRONATE ANIMI-3 AZURETTE ALFUZOSIN ANTARA B-12 ALLEGRA APRACLONIDINE BACMIN May 2017 BAL-CARE CALCITRIOL CHLORPROPAMIDE BALZIVA CALCIUM CHLORTHALIDONE BANZEL CALDOLOR CHOICE-TABS BECONASE CAMBIA CHOLESTYRAMINE BEKYREE CAMILA CHOLINE BENAZEPRIL CAMRESE CIALIS BENAZEPRIL-HYDROCHLORO CANDESARTAN CIFEREX BENICAR CANDESARTAN- CILOSTAZOL BENZTROPINE HYDROCHLOR CIMETIDINE BETAGAN CAPASTAT CITRANATAL BETAHISTINE CAPTOPRIL CLARINEX BETAPACE CAPTOPRIL-HYDROCHLOROT CLARINEX-D BETAXOLOL CAPXIB CLARISPRAY BETIMOL CARAFATE CLEVIPREX BETOPTIC CARBAMAZEPINE CLIMARA BEYAZ CARBATROL CLOFAZIMINE BIFERA CARBIDOPA CLONIDINE BIMATOPROST CARBIDOPA-LEVODOPA CLOPIDOGREL BINOSTO CARBIDOPA-LEVODOPA-ENT CLORPRES BISOPROLOL CARBIMAZOLE C-NATE BISOPROLOL-HYDROCHLORO CARDENE COGENTIN BLISOVI CARDIOTEK-RX COLESTID BLOXIVERZ CARDIZEM COLESTIPOL BONIVA CARDURA COMBIGAN BREO CARTEOLOL COMBIPATCH BREVIBLOC CARTIA COMFORT BREVICON CARVEDILOL COMPLETE BRIELLYN CATAPRES COMPLETENATE BRILINTA CATAPRES-TTS COMTAN BRIMONIDINE CAVERJECT CONCEPT BROMOCRIPTINE CAZIANT COREG BRONKAID CELEBREX CORGARD BUDESONIDE CELECOXIB CORLOPAM BUMETANIDE CELONTIN CORVERT BYSTOLIC CENTRATEX CORVITA BYVALSON CEREBYX CORVITE CADEAU CETIRIZINE CORZIDE CADUET CHATEAL COSOPT CAFFEINE CHENODAL COZAAR CALAN CHILDREN'S CREON CALCITONIN-SALMON CHLOROTHIAZIDE CRESTOR May 2017 CRINONE DICLOTRAL DYAZIDE CRYSELLE DICLOZOR DYLOJECT CUPRIMINE DIFLUNISAL DYRENIUM CYANOCOBALAMIN DIGITEK EC-NAPROSYN CYCLAFEM DIGOX EDARBI CYCLANDELATE DIGOXIN EDARBYCLOR CYCLESSA DILANTIN EDECRIN CYCLOSERINE DILANTIN-125 EDEX CYCLOSET DILATRATE-SR EFFER-K CYRED DILTIAZEM EFFIENT CYTOMEL DILTIAZEM-D5W ELDEPRYL CYTOTEC DILT-XR ELDERCAPS DAPSONE DIOVAN ELESTRIN DARIFENACIN DIPYRIDAMOLE ELINEST DASETTA DISALCID ELITE DAYPRO DISOPYRAMIDE ELITE-OB DAYSEE DITROPAN ELIXOPHYLLIN DEBLITANE DIURIL EMOQUETTE DELESTROGEN DIVALPROEX ENABLEX DELYLA DIVIGEL ENALAPRIL DEMADEX DOFETILIDE ENALAPRILAT DEMSER DONEPEZIL ENALAPRIL-HYDROCHLOROT DEPACON DORZOLAMIDE ENBRACE DEPAKENE DORZOLAMIDE-TIMOLOL ENLYTE DEPAKOTE DOTHELLE ENPRESSE DEPEN DOXAZOSIN ENSKYCE DEPO-ESTRADIOL DRISDOL ENTACAPONE DEPO-PROVERA DROSPIRENONE-ETH EPANED DEPO-SUBQ DROSPIRENONE-ETHINYL EPITOL DERMACINRX DS EPLERENONE DESLORATADINE DUAVEE EPROSARTAN DESOGEN DUET EPTIFIBATIDE DESOGESTREL-ETHINYL DUETACT EQUETRO DESOGESTR-ETH DUEXIS ERRIN DETROL DULERA ESCAVITE DEXILANT DUOPA ESMOLOL DEXTROSE DURACHOL ESOMEPRAZOLE DIALYVITE DURLAZA ESTARYLLA DIAMOX DUTASTERIDE ESTRACE DIBENZYLINE DUTASTERIDE-TAMSULOSIN ESTRADIOL DICLOFENAC DUTOPROL ESTRADIOL-NORETHINDRON May 2017 ESTRING FEXOFENADINE GABITRIL ESTROGEL FEXOFENADINE-PSE GALANTAMINE ESTROPIPATE FIBRICOR GELNIQUE ESTROSTEP FINASTERIDE GEMFIBROZIL ETHACRYNATE FLAVOXATE GENERESS ETHACRYNIC FLECAINIDE GIANVI ETHAMBUTOL FLECTOR GILDAGIA ETHOSUXIMIDE FLOMAX GLIMEPIRIDE ETIDRONATE FLONASE GLIPIZIDE ETODOLAC FLORIVA GLIPIZIDE-METFORMIN EVAMIST FLOVENT GLUCOPHAGE EVISTA FLUNISOLIDE GLUCOTROL EXELON FLUORIDE GLUCOVANCE EXFORGE FLUORITAB GLUMETZA EZETIMIBE FLURA-DROPS GLYBURIDE EZETIMBE-SIMVASTATIN FLURBIPROFEN GLYBURIDE-METFORMIN EXTRA-VIRT FLUTICASONE GLYNASE FABB FLUVASTATIN GLYSET FALMINA FOCALGIN GRANIX FAMOTIDINE FOLBECAL GUANFACINE FAYOSIM FOLBEE HEATHER FELDENE FOLBIC HEMANGEOL FELODIPINE FOLET HEMATINIC FEMCON FOLGARD HEMATOGEN FEMHRT FOLIC HEMATRON-AF FEMRING FOLIVANE-F HEMENATAL FEMYNOR FOLIVANE-OB HEMETAB FENOFIBRATE FOLIVANE-PLUS HEMOCYTE FENOFIBRIC FOLIXAPURE HEMOCYTE-F FENOGLIDE FOLPLEX HYDRALAZINE FENOPROFEN FOLTRATE HYDROCHLORIC FENORTHO FORTAMET HYDROCHLOROTHIAZIDE FERAHEME FORTAVIT HYDROXOCOBALAMIN FERIVA FOSAMAX HYDROXYCHLOROQUINE FEROCON FOSINOPRIL HYDROXYPROGESTERONE FERRALET FOSINOPRIL-HYDROCHLORO HYZAAR FERRAPLUS FOSPHENYTOIN IBANDRONATE FERREX FUROSEMIDE IBUPROFEN FERRLECIT FUSION IBUTILIDE FERROCITE FYAVOLV ICAR-C FERROGELS GABAPENTIN IFEREX May 2017 INDAPAMIDE KARIVA LEVORA-28 INDERAL KAZANO LEVO-T INDOCIN KELNOR LEVOTHYROXINE INDOMETHACIN KENGREAL LEVOXYL INFED KEPPRA LIDOCAINE INFLAMMACIN KETOPROFEN LIDOXIB INFLAMMA-K KETOROLAC LIOTHYRONINE INFUVITE KIMIDESS LIPITOR INJECTAFER KLOFENSAID LIPOFEN INNOPRAN KLOR-CON LISINOPRIL INSPRA KLOR-CON-EF LISINOPRIL-HYDROCHLORO INTEGRA KOMBIGLYZE LIVALO INTEGRILIN KOSHER PRENATALPLUS LO INTROVALE IRON LODOSYN IODOPEN K-SOL LOESTRIN IOPIDINE K-TAB LOFIBRA IRBESARTAN KURVELO LOMEDIA IRBESARTAN-HYDROCHLORO KYNAMRO LOPID IROSPAN LABETALOL LOPREEZA ISOCHRON LAMICTAL LOPRESSOR ISONIAZID LAMOTRIGINE LORYNA ISOPTO LANOXIN LOSARTAN ISORDIL LANSOPRAZOLE LOSARTAN- ISOSORBIDE LARIN HYDROCHLOROTH ISOXSUPRINE LARISSIA LOSEASONIQUE ISRADIPINE LASIX LOTENSIN ISTALOL LATANOPROST LOTREL JALYN LAYOLIS LOVASTATIN JANUMET LEENA LOVAZA JANUVIA LESCOL LOW-OGESTREL JENCYCLA LESSINA LUDENT JENTADUETO LEVATOL LUMIGAN JEVANTIQUE LEVETIRACETAM LUTERA JINTELI LEVETIRACETAM-NACL LYZA JOLESSA LEVITRA M.V.I. JOLIVETTE LEVOBUNOLOL M.V.I.-12 JULEBER LEVOCETIRIZINE MACNATAL JUNEL LEVOMEFOLATE MACUVEX JUXTAPID LEVONEST MACUZIN K LEVONORGESTREL-ETH MANNITOL KAITLIB LEVONORG-ETH MARLISSA May 2017 MARNATAL-F MINASTRIN NAMENDA MATZIM MINIPRESS NAPRELAN MAVIK MINIVELLE NAPROSYN MAXARON MINOXIDIL NAPROXEN MAXFE MIOCHOL-E NASACORT MAXINATE MIOSTAT NASAL MAXZIDE MIRAPEX NASCOBAL MAXZIDE-25 MIRCETTE NASONEX MEBOLIC MISOPROSTOL NATACHEW MECLOFENAMATE MOBIC NATAZIA MEDROXYPROGESTERONE MODICON NATELLE MEFENAMIC MOEXIPRIL NATRECOR MELOXICAM MOEXIPRIL-HYDROCHLOROT NATURE-THROID MEMANTINE MOMETASONE NECON MENEST MONO-LINYAH NEEVODHA MENOSTAR MONONESSA NEOPROFEN MEPHYTON MONTELUKAST NEOSTIGMINE MESTINON MULTAQ NEPHPLEX METAPROTERENOL MULTIGEN NEPHROCAPS METFORMIN MULTIVITAMIN NEPHRON METHAVER MULTI-VITAMIN NEPHRO-VITE METHAZOLAMIDE MULTI-VITAMIN-FLUOR-IR NEPTAZANE METHIMAZOLE MULTIVITAMINS NESINA METHYCLOTHIAZIDE MULTIVITAMINS-A,B,D,E, NESTABS METHYLDOPA MUSE NEULASTA METHYLDOPA- MVC-FLUORIDE NEUPRO HYDROCHLORO M-VIT NEURIN-SL METHYLDOPATE MYAMBUTOL NEURONTIN METIPRANOLOL MYCOBUTIN NEWGEN METOLAZONE MYFERON-150 NEXA METOPROLOL MYNATAL NEXIUM METOPROLOL- MYNATAL-Z NEXTERONE HYDROCHLORO MYNATE NIACIN MEXILETINE MYNEPHROCAPS NIACOR MIACALCIN MYSOLINE NIASPAN MICARDIS MY WAY NICARDIPINE MICROGESTIN MYZILRA NICOMIDE MICROZIDE NABUMETONE NICOTINIC MIEBELAS NADOLOL NIFEDICAL MIGLITOL NADOLOL-BENDROFLUMETHI NIFEDIPINE MIMVEY NALFON NIKKI May 2017 NIMODIPINE OPSUMIT PINDOLOL NISOLDIPINE ORENITRAM PIOGLITAZONE NITROPRESS ORSYTHIA PIOGLITAZONE-GLIMEPIRI NIVA-FOL ORTHO PIOGLITAZONE-METFORMIN NIVA-PLUS ORTHO-CYCLEN PIRMELLA NIZATIDINE ORTHO-NOVUM PIROXICAM NORA-BE OSMITROL PLAQUENIL NORETHINDRONE OVCON-35 PLAVIX NORETHINDRON-ETHINYL OXAPROZIN PNV NORETHIN-ETH OXCARBAZEPINE PNV-DHA NORGESTIMATE-ETHINYL OXTELLAR PNV-FERROUS NORGESTREL-ETHINY OXYBUTYNIN PNV-OMEGA NORINYL OXYTROL PNV-SELECT NORLYROC PACERONE PNV-VP-U NORPACE PAIRE POLY-IRON NOR-Q-D PAMIDRONATE POLY-VI-FLOR NORTREL PANCREATIN POLYVITAMINS-FLUORIDE NORVASC PANCREAZE PONSTEL NOXIFOL-D3 PANTOPRAZOLE PORTIA NP PAPAVERINE POTABA NUDICLO PAPAVERINE-ALPROSTADIL POTASSIUM NUFERA PAPAVERINE-PHENTOLAMIN PR NUTRICAP PAPAVERINE-PHENTOLMN-A PRAMIPEXOLE NUVARING PARLODEL PRANDIN NYLIDRIN PASER PRAVACHOL NYMALIZE PCCA PRAVASTATIN OB PEGANONE PRAZOSIN OBSTETRIX PENNSAID PRECOSE OBTREX PEPCID PREFERA O-CAL PERINDOPRIL PREFERA-OB OCELLA PERTZYE PREFEST OGESTREL PHENOXYBENZAMINE PREMARIN OLMESARTAN PHENTOLAMINE-ALPROSTAD PREMPHASE OLMESARTAN HCTZ PHENYLBUTAZONE PREMPRO OLMESARTAN-AMLODIPINE- PHENYTEK PRENA1 HCTZ PHENYTOIN PRENAISSANCE OMEGA-3 PHILITH PRENATA OMEPRAZOLE PHYSICIANS PRENATABS OMEPRAZOLE-SODIUM PHYTONADIONE PRENATAL OMNARIS PILOCARPINE PRENATAL-U ONGLYZA PIMTREA PRENATE May 2017 PREPLUS QUDEXY R-NATAL PREQUE QUESTRAN ROCALTROL PRESTALIA QUFLORA ROPINIROLE PRETAB QUINAPRIL ROSUVASTATIN PREVACID QUINAPRIL-HYDROCHLOROT ROWEEPRA PREVALITE QUINIDINE ROXIFOL-D PREVIDOLRX QVAR RULAVITE PREVIFEM RABEPRAZOLE RYTARY PRIFTIN RAJANI RYTHMOL PRILOSEC RALOXIFENE SAFYRAL PRIMIDONE RAMIPRIL SALSALATE PRINIVIL RANEXA SEASONIQUE PROCAINAMIDE RANITIDINE SECTRAL PROCARDIA RAPAFLO SELECT-OB PROFERRIN-FORTE RAZADYNE SELEGILINE PROGESTERONE RECLAST SE-NATAL PROLIA RECLIPSEN SE-TAN PROMETRIUM REGONOL SETLAKIN PROPAFENONE RELNATE SHAROBEL PROPRANOLOL RENAL SILDENAFIL PROPRANOLOL- RENA-VITE SIMBRINZA HYDROCHLOR RENO SIMVASTATIN PROPYLTHIOURACIL REOPRO SINEMET PROSCAR REPAGLINIDE SINGULAIR PROSTAGLANDIN REPAGLINIDE-METFORMIN