2018 Preventive medications and your plan
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2018 Preventive medications and your plan Managing your health with preventive medications Your pharmacy benefit plan includes special coverage for preventive medications. These drugs help protect against or manage a medical condition, such as: • Preventing blood clots and reducing the risk of a stroke • Preventing heart disease and reducing high blood pressure • Preventing osteoporosis (a disease that leads to an increased risk of bone fracture) Your health is important. Taking preventive medications as directed by your health care provider can help you avoid serious illness and high health care costs.
2018 Preventive medications and your plan Special coverage for preventive medications Drugs on your plan’s list of preventive medications are not subject to a deductible. You’ll pay your copayment/coinsurance or nothing at all, depending on your plan. So you can save money and get the medications you need to help you live a healthier life. Preventive medications are a subset of products included within your plan’s formulary, or list of prescription drugs, which tells you what medications your plan covers. Please note that most medications on the Formulary are subject to a deductible. Preventive medications are an exception. To check the cost of any medication, refer to your benefit handbook or contact customer service at the toll-free member phone number on your benefit plan ID card. Potential savings with generic medications To get the most from your benefits, ask your doctor if a generic medication is right for you. Generics normally cost less than brand medications, and the Food and Drug Administration (FDA) requires them to be just as safe and effective. Quality drives our decisions Our committee of independent doctors and pharmacists meets regularly to review medications and consider how they should be covered by your pharmacy benefit plan. They also recommend which medications should be on your plan’s list of preventive medications. A list of covered preventive medications begins on the next page. Medications are listed by therapeutic category. To help you tell generic and brand drugs apart, all generics start with a lowercase letter. For questions on injectable dose forms of preventive medications administered by your healthcare provider, please call the number on the back of your membership card for more information. OptumRx | optumrx.com
2018 Preventive medication list
Expanded listing by therapeutic category
rosuvastatin
ANTIHYPERGLYCEMIC BONE DISEASE AND
Simvastatin
Glyxambi FRACTURES
Zocor
Korlym Actonel
alendronate Other Agents
ASTHMA AND COPD
Boniva Advicor
Accolate Evista Antara
Anoro Ellipta Fosamax fenofibrate
Asmanex Fosamax Plus D ezetimibie
budesonide ibandronate fenofibric acid
Combivent raloxifene gemfibrozil
cromolyn sodium Reclast Lopid
Dulera zoledronic acid niacin
Gastrocrom Niacor
ipratropium/albuterol BONE RESPORPTION
Niaspan Er
montelukast INHIBITORS
omega-3-acid ethyl esters
nebulizers and inhaler Didronel Simcor
assistive devices Etidronate Disodium Tricor
Proair HFA Pamidronate Disodium Trilipix
Pulmicort Xgeva vascepa
Qvar Zometa
Respiratory Supplies CONTRACEPTIVES (Various)
CHOLESTEROL LOWERING
Serevent Diskus Apri
MEDICINES
Spiriva Aviane
Symbicort HMG-COA Reductase Cyclesse
Ventolin HFA Inhibitors Desogen
zafirlukast atorvastatin Lo Loestrin Fe
Zyflo Cr lovastatin Lo/Ovral
Mevacor Loestrin
PravachoL Mircette
pravastatin Nordette
Nuvaring
OptumRx | optumrx.com2018 Preventive medications and your plan
Ocella nateglinide quinapril
Ortho-Novum pioglitazone and combinations Univasc
Seasonale Prandin Vasotec
Yasmin repaglinide Zestril
Zovia Starlix
Ace Inhibitors/Diuretic
Symlin
DIABETES Combinations
Insulin HEART DISEASE AND Accuretic
STROKE benazepril/hctz
Humalog, 50/50, 75/25
Humulin Blood Thinner Medicines enalapril/hctz
Lantus Aggrenox lisinopril/hctz
Lantus Solostar Arixtra Lotensin Hct
Levemir Aspirin, 81mg, 162mg or moexipril/hctz
325 mg quinapril/hctz
Non-insulin Uniretic
Brilinta
Actoplus Met clopidogrel Vaseretic
Actos Coumadin Zestoretic
Amaryl dypyridamole Angiotensin II Receptor
Avandamet Effient Antagonists
Avandaryl Enoxaparin Sodium
Avandia Atacand
Fondaparinux
Byetta Avapro
Lovenox
Diabeta candesartan
Persantine
Duetact Cozaar
Plavix
Fortamet irbesartan
Ticlid
glimepiride losartan
ticlopidine
glipizide and combinations olmesartan
Warfarin
Glucophage valsartan
Xarelto
Glucovance Angiotensin II Receptor
Glucotrol HIGH BLOOD PRESSURE
Antagonists/Diuretic
glyburide and combinations Ace Inhibitors Combinations
Glynase Accupril Atacand HCT
Invokana benazepril Avalide
Janumet enalapril candesartan/HCTZ
Januvia lisinopril Hyzaar
metformin Lotensin irbesartan/HCTZ
moexipril losartan/HCTZ
Prinivil olmesartan/HCTZ
OptumRx | optumrx.com
valsartan/HCTZ2018 Preventive medications and your plan
Beta Blockers Diuretics High Blood Pressure
atenolol chlorthalidone Medicines Miscellaneous
bisoprolol indapamide aliskiren and combinations
Bystolic metolazone amlodipine/benazepril
Inderal LA Zaroxolyn amlodipine/olmesartan
Innopran XL amlodipine/Olmesartan/
Other High Blood Pressure
metoprolol hydrochlorothiazide
Medicine Combinations
propranolol amlodipine/telmisartan
Tenormin amlodipine/atorvastatin amlodipine/valsartan
Zebeta amlodipine/benazepril amlodipine/valsartan/
amlodipine/olmesartan hydrochlorothiazide
Beta Blockers/Diuretic amlodipine/olmesartan/ Amturnide
Combinations hydrochlorothiazide Azor
atenolol/chlorthalidone amlodipine/telmisartan Cardura
bisoprolol/Hctz Caduet carvedilol
Corzide Exforge Catapres
Lopressor HCT Exforge Hct clonidine
metoprolol/hctz ezetimibe/simvastatin Clorpres
nadolol/bendroflumethiazide Lotrel Coreg
propranolol/hctz Tarka Coreg CR
Tenoretic Twynsta doxazosin
Ziac Exforge
Diuretics And Combinations
Calcium Channel Blockers Exforge HCT
Aldactone
hydralazine
Adalat CC amiloride
Lotrel
amlodipine Dyazide
Tekamlo
Calan hydrochlorothiazide
Tekturna
Cardizem indapamide
Tekturna HCT
Cardizem lA Maxzide
terazosin
diltiazem metolazone
Tribenzor
nifedipine spironolactone
Twynsta
nisoldipine triamterene-Hctz
Procardia XL Zaroxolyn
Sular
Tiazac
verapamil
Verelan
OptumRx | optumrx.com2018 Preventive medications and your plan
Focalin Bupropion XL
HEPATITIS C
Focalin XR Citalopram HBR
Copegus Intuniv Desipramine HCL
Pegasys Methylphenidate ER Doxepin HCL
Peg-Intron Methylphenidate HCL Duloxetine
Rebetol Methylphenidate HCL CD Escitalopram Oxalate
Ribapak Methylphenidate LA Fluoxetine HCL
Ribavirin Quillivant XR Mirtazapine
Sovaldi Ritalin Nefazodone HCL
NASAL ANTI- Strattera Nortriptyline HCL
INFLAMMATORY STEROIDS Vyvanse Paroxetine HCL
Sertraline HCL
Budesonide Antipsychotics
Venlafaxine HCL
Dymista Abilify Venlafaxine HCL ER
Flunisolide Clozapine Viibryd
mometasone Clozaril
Qnasl Geodon Glucocorticoids
PSYCHOTHERAPEUTIC Haloperidol Dexamethasone
DRUGS Olanzapine Methylprednisolone
Quetiapine Fumarate Orapred Odt
Anti-Anxiety
Risperidone Phosphate
Alprazolam ER Prednisolone
Alprazolam Bipolar disorder
Prednisolone Sodium
Diazepam Lithium Carbonate Er Prednisone
Lorazepam Lithium Carbonate
Lithobid Immunosuppressants
Attention Deficit
Gengraf
Hyperactivity (ADHD) Benzodiazepine Antagonists
Imuran
Adderall Flumazenil Neoral
Amphetamine Salt Combo Romazicon Prograf
Dexmethylphenidate HCL Ramapune
Depression
Dexmethylphenidate HCL ER Sandimmune
Dextroamphetamine Sulfate ER Amitriptyline HCL
Tacrolimus
Dextroamphetamine- Brintellix
Amphet ER Brisdelle
Bupropion HCL
Bupropion HCL SR
OptumRx | optumrx.com2018 Preventive medications and your plan Other Antidepressants Marplan Nardil Parnate Sedative Hypnotics armodafinil Eszopiclone Intermezzo Modafinil Temazepam Trazodone Hcl Zaleplon Zolpidem Tartrate Zolpidem Tartrate Er THYROID Armour Thyroid Levothyroxine Sodium Levoxyl Nature-Throid Synthroid OptumRx | optumrx.com
2018 Preventive medications and your plan
This list is intended as a reference and may not be all-inclusive.
Brand or generic availability may not be current due to changes in the market.
Use of generics may be required depending upon plan design.
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©2018 Optum, Inc. All rights reserved. ORX2523-CU_180101 69291-102017
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