Preventive drug list

If t his list does not answer your question(s), please send an email to: [email protected] We will work with Medco to answer your question(s) as quickly as possible. Preventive medications
In addition to a healthy lifestyle, preventive medications can help people avoid many illnesses and conditions. A consumer-directed health (CDH) plan that includes preventive medications can help support the goal of ongoing good health. This list provides examples of your plan’s preventive medications by drug category. This is not an al -inclusive list. Medications may be added to or removed from the list depending on different factors, including the intended purpose(s) of the medication and medication availability. Preventive medications are divided by drug category.This list contains both medications that are always prescribed for prevention and medications that are sometimes prescribed for prevention but may also be prescribed for treatment of an existing condition. Medications on this list that are not covered under your plan are not eligible Preventive medications list
This list includes both medications used always for prevention and medications used sometimes for prevention and sometimes for treatment. Drug category
Examples of products
Antiemetics/antivertigo agents
• ondansetron (Zofran®, Zofran ODT®) • scopolamine (Transderm Scop®; Scopace®) Antiestrogens
• ACE inhibitors: benazepril (Lotensin®); benazepril-HCTZ (Lotensin HCT®); captopril (Capoten®); captopril-HCTZ (Capozide®); enalapril (Vasotec®); enalapril-HCTZ (Vaseretic®); fosinopril (Monopril®); fosinopril-HCTZ (Monopril-HCT®); lisinopril (Prinivil®, Zestril®);lisinopril-HCTZ (Prinzide®, Zestoretic®); moexipril (Univasc®); moexipril-HCTZ (Uniretic®); perindopril (Aceon®); quinapril (Accupril®); quinapril-HCTZ (Accuretic®); ramipril (Altace®); trandolapril (Mavik®) • Angiotensin II receptor blockers: candesartan (Atacand®); candesartan-HCTZ (Atacand HCT®); eprosartan (Teveten®); eprosartan-HCTZ (Teveten HCT®);irbesartan (Avapro®); irbesartan-HCTZ (Avalide®); losartan (Cozaar®); losartan- HCTZ (Hyzaar®); olmesartan (Benicar®); olmesartan-HCTZ (Benicar HCT®); telmisartan (Micardis®); telmisartan-HCTZ (Micardis HCT®); valsartan (Diovan®); valsartan-HCTZ (Diovan HCT®) Drug category
Examples of products
Antihypertensives (continued)
• Beta blockers: acebutolol (Sectral®); atenolol (Tenormin®); atenolol-chlorthalidone (Tenoretic®); betaxolol (Kerlone®); bisoprolol (Zebeta®); bisoprolol-HCTZ (Ziac®); carteolol (Cartrol®); labetalol (Normodyne®, Trandate®); metoprolol (Lopressor®, Toprol-XL®); metoprolol-HCTZ (Lopressor HCT®, Dutoprol™);nadolol (Corgard®);nadolol-bendroflumethiazide (Corzide®); penbutolol (Levatol®); pindolol (Visken®); propranolol (Inderal®, Inderal® LA, InnoPran XL®); timolol (Blocadren®); timolol-HCTZ (Timolide®) • Calcium channel blockers: amlodipine (Norvasc®); bepridil (Vascor®); diltiazem (Cardizem®, Cardizem® CD, Cardizem® SR, Cartia XT®, Tiazac®) felodipine (Plendil®); isradipine (DynaCirc®, DynaCirc CR®); nicardipine (Cardene®, Cardene® SR); nifedipine (Adalat®, Adalat® CC, Procardia®, Procardia XL®); nisoldipine (Sular®); verapamil (Calan®, Calan® SR, Covera-HS®, Isoptin SR®, Verelan®, Verelan PM®) • Miscel aneous antihypertensives:carvedilol (Coreg®,Coreg CR®); clonidine (Catapres®); clonidine-chlorthalidone (Combipres®, Clorpres®); doxazosin (Cardura®); enalapril-felodipine (Lexxel®); hydralazine (Apresoline®); methyldopa (Aldomet®); methyldopa-chlorothiazide (Aldoclor®); prazosinpolythiazide (Minizide®); trandolapril-verapamil (Tarka®) • Thiazide diuretics and related diuretics: amiloride (Midamor®); amiloride-HCTZ (Moduretic®); eplerenone (Inspra®); hydrochlorothiazide (HydroDIURIL®, Esidrix®); indapamide (Lozol®); metolazone (Zaroxolyn®); spironolactone (Aldactone®); spironolactone-HCTZ (Aldactazide®); terazosin (Hytrin®); triamterene (Dyrenium®); triamterene-HCTZ (Dyazide®, Maxzide®) Anti-infectives
• pyrimethamine-sulfadoxine (Fansidar®) Drug category
Examples of products
Anti-ulcer agents
• H2-antagonists: cimetidine (Tagamet®); famotidine (Pepcid®); nizatidine (Axid®); ranitidine (Zantac®) • Miscellaneous agents: misoprostol (Cytotec®); sucralfate (Carafate®) • Proton pump inhibitors: esomeprazole (Nexium®); lansoprazole (Prevacid®); omeprazole (Prilosec®); pantoprazole (Protonix®); rabeprazole (AcipHex®) Antivirals
Calcium replacement products
Cancer (adjunctive agents)
Cholesterol-lowering agents
• cholestyramine (LoCholest®; Prevalite®; Questran®; Questran® Light) • fenofibrate (Antara®, Lofibra®, TriCor®) • HMG-coA reductase inhibitors: atorvastatin (Lipitor®); fluvastatin (Lescol®, Lescol® XL); Lovastatin (Mevacor®, Altocor®); pravastatin (Pravachol®); rosuvastatin (Crestor®); Drug category
Examples of products
Cholesterol-lowering agents (continued)
• niacin (Niacor®, Niaspan®); niacin/lovastatin (Advicor®) • omega-3-acid ethyl esters (Omacor®)
Contraceptives, non-oral
• injectables (Depo-Provera®, Depo-subQ Provera 104®) Contraceptives, oral
Dental aids
• minocycline (Arestin®) • tetracycline (Actisite®) Estrogen replacement products
• bioidentical estradiol transdermal gel (Elestrin™) • conjugated estrogens (Premarin®) • esterified estrogens/methyltestosterone (Estratest®, Estratest® H.S., Syntest™ DS, Syntest™ HS) • estradiol (Alora®, Climara®, Esclim®, Estrace®, Estraderm®, Vivel e®) • estradiol acetate (Femtrace®, Femring®) • estradiol/levonorgestrel (Climara Pro®) • estradiol/norethindrone (Activella®, CombiPatch®) • estradiol/norgestimate (Ortho-Prefest®) • estrogen/medroxyprogesterone (Premphase®, Prempro™) • ethinyl estradiol/norethindrone (Femhrt®) • synthetic conjugated estrogens, A (Cenestin®) • synthetic conjugated estrogens, B (Enjuvia™) Fluoride preparations, oral and topical
Drug category
Examples of products

Heparin/low molecular weight heparin products
• low-molecular-weight heparin: dalteparin (Fragmin®); enoxaparin (Lovenox®); fondaparinux (Arixtra®); tinzaparin (Innohep®) Iron replacement agents
Magnesium replacement products
Miscellaneous agents
• alendronate (Fosamax®); alendronate/cholecalciferol • calcitonin (Fortical®, Miacalcin®) Phosphate/potassium replacement products
• potassium bicarbonate/potassium citrate (Effer-K®, K-Lyte®) • potassium chloride (K-Dur®, K-Tab®, Klotrix®, Klor-Con®, Slow-K®) • potassium phosphate (Neutra-Phos® K) • potassium and sodium phosphate (K-Phos® Neutral, Neutra-Phos®) Prenatal vitamins
Drug category
Examples of products
Prescription vitamins
• medroxyprogesterone (Amen®, Cycrin®, Depo-Provera®, • progesterone, micronized (Crinone®, Prochieve®, Prometrium®) Renal disease agents
Smoking cessation products
• nicotine products (Nicotrol® Inhaler, Nicotrol® Nasal Spray) Vaccines
• diphtheria, pertussis [acel ular], tetanus (Adacel®, Boostrix®, • diphtheria, pertussis, tetanus, haemophilus influenzae b (Tetramune, TriHIBit®) • haemophilus influenzae b (ActHIB®, HibTITER®, PedvaxHIB®) • hepatitis B (Engerix-B®, Recombivax HB®) • hepatitis B, Haemophilus influenzae b (Comvax®) • hepatitis B, Hepatitis A (Twinvax®) • influenza (Fluarix®, FluMist®, Fluvirin®, Fluzone®, FluLaval™) • measles, mumps, and rubella (M-M-R® II) • measles, mumps, rubel a, and varicella (ProQuad®) • pneumococcal (Prevnar®, Pneumovax 23®, Pnu-Imune 23®) Vitamin A products
Vitamin B products
Drug category
Examples of products
Vitamin B1 products
Vitamin B6 products
Vitamin B12 products
Vitamin D products
• dihydrotachysterol (DHT™, Hytakerol®) Vitamin K products
Vitamins with folic acid
Weight loss agents
• phendimetrazine (Bontril® PDM, Bontril® Slow-Release, Melfiat®-105, Prelu-2®) • phentermine (Adipex-P®, Ionamin®, Pro-Fast® HS, Pro-Fast® SA, Pro-Fast® SR) Zinc replacement products
Abbreviations: HCTZ = hydrochlorothiazide
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