Enhanced Preventive Medication List
Below is our Enhanced Preventive Medication List. Preventive prescription medications are prescription medications that can help individuals keep from developing a health condition. They can help individuals maintain their quality of life, avoid expensive treatment and reduce their overall health care costs.
Please note that specific brand name and generic medications listed below are examples only and do not represent a comprehensive listing of all medications within each category that may be prescribed for preventive care purposes.
If a specific medication is not listed below and you would like to determine whether it is included in a listed category, simply visit http://mydrug.formularies.com/
Coverage for the listed medications is subject to the terms of your health care program. This means that there may be applicable exclusions and out-of-pocket requirements such as coinsurance and/or copayments.
| Category | Examples of Medications* |
|---|---|
| ANOREXIANTS | Xenical® (orlistat) |
| ANTI-ALCOHOLIC PREPARATIONS | Antabuse® (disulfiram) Campral® (acamprosate calcium) |
| ANTI-COAGULANTS | Coumadin® (warfarin) |
| ANTI-CONVULSANTS / MOOD STABILIZERS | Depakote® (divalproex sodium) Dilantin® (phenytoin sodium) lithium carbonate Tegretol® (carbamazepine) |
| ANTI-MALARIALS | Aralen® (chloroquine)
Lariam® (mefloquine hydrochloride) Plaquenil® (hydroxychloroquine) |
| ANTI-PLATELET | Aggrenox® (aspirin/extended-release
dipyridamole) Plavix® (clopidogrel bisulfate) Ticlid® (ticlopidine Hcl) |
| ASTHMA MEDICATIONS | Flovent® (fluticasone propionate) Intal® (cromolyn sodium) Serevent® (salmeterol) Advair® (salmeterol/fluticasone) albuterol |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES – ACE INHIBITORS | Accupril® (quinapril hydrochloride) Lotensin® (benazepril) Prinivil® (lisinopril) |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES - ADRENERGIC ANTAGONISTS | Cardura® (doxazosin) Catapres® (clonidine) |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES - ANGIOTENSIN II RECEPTOR BLOCKERS | Avapro® (irbesartan) Benicar® (olmesartan medoxomil) Diovan® (valsartan) |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES - BETA BLOCKERS | Coreg® (carvedilol) Lopressor® (metoprolol tartrate) Tenormin® (atenolol tablets) |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES – CALCIUM CHANNEL BLOCKERS | Calan® SR (verapamil hydrochloride) Cardizem® CD (diltiazem HCI) Norvasc® (amlodipine) |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES – COMBINATIONS | Lotrel® (amlodipine besylate and benazepril HCl) |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES – DIURETICS | Aldactone® (spironolactone) Hydrodiuril® (hydrochlorothiazide) Lasix® (furosemide) |
| CARDIOVASCULAR / ANTI-HYPERTENSIVES – VASODILATORS | Apresoline® (hydralazine) Loniten® (minoxidil) |
| CARDIOVASCULAR / OTHER | Nitrates: Imdur® (isosorbide mononitrate) Nitro-Dur® (nitroglycerin) Anti-arrhythmics: Cordarone® (amiodarone HCI) Rythmol® (propafenone) |
| ESTROGEN REPLACEMENT | Climara Pro® (estradiol/levonorgestrel) Estrace® (estradiol) Estraderm® (estradiol) Climara® (estradiol) Vivelle® (estradiol) Premarin® (conjugated estrogens) |
| FLUORIDE PREPARATIONS | Luride® (sodium fluoride) |
| GASTROENTEROLOGY – PROTECTION | Cytotec® (misoprostol) |
| GOUT | Zyloprim® (allopurinol) |
| IMMUNOSUPPRESSANT AGENTS | Cellcept® (mycophenolate mofetil) Neoral® (cyclosporine) Prograf® (tacrolimus) Rapamune® (sirolimus) |
| INTRANASAL STEROIDS | Flonase® (fluticasone propionate) Nasonex® (mometasone furoate monohydrate) Rhinocort AQ® (budesonide) |
| LIPID / CHOLESTEROL-LOWERING AGENTS | Colestid® (colestipol) Lipitor® (atorvastatin calcium) TriCor® (fenofibrate) Zocor® (simvastatin) |
| MIOTICS / OTHER GLAUCOMA | Cosopt® (dorzolamide/timolol) Lumigan® (bimatoprost) Timoptic® (timolol) Travatan® (travoprost) acetazolamide methazolamide |
| NARCOTIC – FOR ADDICTIONS | Subutex® (buprenorphine) Suboxone® (buprenorphine/naloxone) |
| OSTEOPOROSIS | Actonel® (risedronate) Evista® (raloxifene) Fosamax® (alendronate) Miacalcin® (calcitonin) |
| PEDIATRIC VITAMINS WITH FLUORIDE | Tri-Vi-Flor® Vi-Daylin/F ADC® Poly-Vi-Flor® |
| PRENATAL MULTI-VITAMINS WITH IRON | Materna® Prenate Ultra® StuartNatal Plus 3® |
| SMOKING DETERRENTS | Zyban® (bupropion hydrochloride) |
*The listed medications are subject to periodic review and revision.