If t his list does not answer your question(s), please send an email to: BenefitOffice@cinbell.com 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 Anticoagulants/antiplatelets Antiemetics/antivertigo agents
• ondansetron (Zofran®, Zofran ODT®)
• scopolamine (Transderm Scop®; Scopace®)
Antiestrogens Antihypertensives
• 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 Antimalarials
• 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 Osteoporosis
• 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 Progestins
• 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
www.medco.com Medco manages your prescription drug benefit for your health plan. Medco is a registered trademark of Medco Health Solutions, Inc. Al other trademarks are the property of their respective owners. 2007 Medco Health Solutions, Inc. Al rights reserved.
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