Preventive Medication | BeneCard

Therapeutic Category

Analgesics and Anesthetics

Aspirin for Men

Drug Name

ADULT ASPIRIN REGIMEN

ASPIRIN ASPIRIN 81 ASPIRIN 81 LOW DOSE ASPIRIN ADULT ASPIRIN ADULT LOW DOSE ASPIRIN CHILDRENS ASPIRIN DR ASPIRIN EC ASPIRIN EC LOW DOSE ASPIRIN LOW DOSE ASPIRIN REGULAR STRENGTH ASPIR-LOW ASPIRTAB

BAYER ADVANCED ASPIRIN RE GULAR STRENGTH BAYER ASPIRIN

BAYER ASPIRIN EC LOW DOSE BAYER CHEWABLE LOW DOSE BAYER LOW DOSE CHILDRENS ASPIRIN CHILDRENS ASPIRIN LOW STR ENGTH ECOTRIN

ECOTRIN LOW STRENGTH ECOTRIN REGULAR STRENGTH ECPIRIN

H-E-B ASPIRIN HM ASPIRIN HM ASPIRIN EC

HM ASPIRIN EC LOW DOSE KLS ASPIRIN EC

KLS ASPIRIN LOW DOSE KP ASPIRIN

MINIPRIN LOW DOSE MM ASPIRIN NORWICH ASPIRIN

PX ASPIRIN

PX ENTERIC ASPIRIN QC ASPIRIN

Therapeutic Category

Drug Name

QC ASPIRIN LOW DOSE QC CHEWABLE ASPIRIN LOW D OSE QC CHILDRENS ASPIRIN QC ENTERIC ASPIRIN ST JOSEPH ASPIRIN ST JOSEPH LOW DOSE ASPIRI N

Aspirin for Women

ADULT ASPIRIN REGIMEN ASPIRIN ASPIRIN 81 ASPIRIN 81 LOW DOSE ASPIRIN ADULT ASPIRIN ADULT LOW DOSE ASPIRIN CHILDRENS ASPIRIN DR ASPIRIN EC

ASPIRIN EC LOW DOSE ASPIRIN LOW DOSE ASPIRIN REGULAR STRENGTH ASPIR-LOW ASPIRTAB

BAYER ADVANCED ASPIRIN RE GULAR STRENGTH BAYER ASPIRIN BAYER ASPIRIN EC LOW DOSE BAYER CHEWABLE LOW DOSE BAYER LOW DOSE CHILDRENS ASPIRIN CHILDRENS ASPIRIN LOW STR ENGTH ECOTRIN

ECOTRIN LOW STRENGTH ECOTRIN REGULAR STRENGTH ECPIRIN

H-E-B ASPIRIN HM ASPIRIN HM ASPIRIN EC HM ASPIRIN EC LOW DOSE KLS ASPIRIN EC

KLS ASPIRIN LOW DOSE KP ASPIRIN MINIPRIN LOW DOSE MM ASPIRIN NORWICH ASPIRIN PX ASPIRIN

PX ENTERIC ASPIRIN QC ASPIRIN QC ASPIRIN LOW DOSE

Therapeutic Category

Drug Name

QC CHEWABLE ASPIRIN LOW D OSE

QC CHILDRENS ASPIRIN

QC ENTERIC ASPIRIN ST JOSEPH ASPIRIN ST JOSEPH LOW DOSE ASPIRI N

Anti-Infective Agents

HIV: Preexposure Prophylaxis TRUVADA

Antineoplastic Agents

Breast Cancer

ANASTROZOLE

ARIMIDEX AROMASIN EXEMESTANE FEMARA LETROZOLE TAMOXIFEN CITRATE

Biologicals

Vaccines Adult

ACTHIB ADACEL

AFLURIA QUADRIVALENT 2020 -2021 BEXSERO BOOSTRIX DAPTACEL DIPHTHERIA/TETANUS TOXOID S ADSORBED PEDIATRIC

ENGERIX-B FLUAD 2020-2021

FLUAD QUADRIVALENT INFLUE NZA VACCINE FOR ADULTS

FLUARIX QUADRIVALENT 2020 -2021

FLUBLOK QUADRIVALENT 2020 -2021

FLUCELVAX QUADRIVALENT 20 20-2021

FLULAVAL QUADRIVALENT 202 0-2021

FLUMIST QUADRIVALENT

FLUZONE HIGH-DOSE PF 2020 -2021

FLUZONE QUADRIVALENT 2020 -2021

GARDASIL 9 HAVRIX HEPLISAV-B HIBERIX INFANRIX

Therapeutic Category

Drug Name

KINRIX MENACTRA MENQUADFI MENVEO M-M-R II PEDIARIX PEDVAX HIB PENTACEL PNEUMOVAX 23 PNEUMOVAX 23/1 DOSE PREVNAR 13 PROQUAD QUADRACEL RECOMBIVAX HB SHINGRIX TDVAX TENIVAC TETANUS/DIPHTHERIA TOXOID S-ADSORBED ADULT TRUMENBA TWINRIX VAQTA VARIVAX

Vaccines Children

ACTHIB ADACEL

AFLURIA QUADRIVALENT 2020 -2021 BEXSERO BOOSTRIX DAPTACEL DIPHTHERIA/TETANUS TOXOID S ADSORBED PEDIATRIC

ENGERIX-B FLUAD 2020-2021

FLUAD QUADRIVALENT INFLUE NZA VACCINE FOR ADULTS

FLUARIX QUADRIVALENT 2020 -2021

FLUBLOK QUADRIVALENT 2020 -2021

FLUCELVAX QUADRIVALENT 20 20-2021

FLULAVAL QUADRIVALENT 202 0-2021

FLUMIST QUADRIVALENT

FLUZONE HIGH-DOSE PF 2020 -2021

FLUZONE QUADRIVALENT 2020 -2021 GARDASIL 9 HAVRIX HEPLISAV-B HIBERIX INFANRIX IPOL INACTIVATED IPV

Therapeutic Category

Drug Name

KINRIX MENACTRA MENQUADFI MENVEO M-M-R II PEDIARIX PEDVAX HIB PENTACEL PROQUAD QUADRACEL RECOMBIVAX HB ROTARIX ROTATEQ TDVAX TENIVAC TETANUS/DIPHTHERIA TOXOID S-ADSORBED ADULT TRUMENBA TWINRIX VAQTA VARIVAX

Cardiovascular Agents

Statins - High

ATORVASTATIN CALCIUM 40MG, 80MG CRESTOR 20MG, 40 MG LIPITOR 40MG, 80MG ROSUVASTATIN CALCIUM 20MG, 40MG SIMVASTATIN 80 MG ZOCOR 80MG

Statins - Low

FLUVASTATIN 20MG, 40MG LIVALO 1 LOVASTATIN 10MG, 20MG PRAVACHOL 20 MG PRAVASTATIN SODIUM 20MG SIMVASTATIN 5MG, 10MG ZOCOR 5MG, 10MG

Statins - Moderate

ALTOPREV 40MG, 60MG

ATORVASTATIN CALCIUM 10MG, 20MG CRESTOR 5MG, 10MG FLUVASTATIN SODIUM ER 80MG LESCOL XL 80MG LIPITOR 10MG, 20MG

Therapeutic Category

Drug Name

LIVALO 4MG LOVASTATIN 40MG PRAVACHOL 40MG, 80MG PRAVASTATIN SODIUM 40MG, 80MG ROSUVASTATIN CALCIUM 5MG, 10MG SIMVASTATIN 20MG, 40MG ZOCOR 20MG, 40MG

Endocrine and Metabolic Drugs

Breast Cancer

EVISTA RALOXIFENE HYDROCHLORIDE

Contraceptives

AFIRMELLE AFTERA ALTAVERA ALYACEN 1/35 ALYACEN 7/7/7 AMETHIA AMETHIA LO AMETHYST APRI ARANELLE ASHLYNA AUBRA AUBRA EQ AUROVELA 1.5/30 AUROVELA 1/20 AUROVELA 24 FE AUROVELA FE 1.5/30 AUROVELA FE 1/20 AVIANE AYUNA AZURETTE BALZIVA BEKYREE BEYAZ BLISOVI 24 FE BLISOVI FE 1.5/30 BLISOVI FE 1/20 BRIELLYN CAMILA CAMRESE CAMRESE LO CAZIANT

Therapeutic Category

Drug Name

CESIA CHARLOTTE 24 FE CHATEAL CHATEAL EQ CRYSELLE-28 CYCLAFEM 1/35 CYCLAFEM 7/7/7 CYRED CYRED EQ DASETTA 1/35 DASETTA 7/7/7 DAYSEE DEBLITANE DELYLA DEPO-PROVERA CONTRACEPTIVE DEPO-SUBQ PROVERA 104 DESOGESTREL/ETHINYL ESTRADIOL DROSPIRENONE/ETHINYL ESTR ADIOL DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM ECONTRA EZ ECONTRA ONE-STEP ELINEST ELLA EMOQUETTE ENPRESSE-28 ENSKYCE ERRIN ESTARYLLA ESTROSTEP FE ETHYNODIOL DIACETATE/ETHINYL ESTRADIOL FALESSA FALMINA FAYOSIM FEMYNOR GEMMILY GENERESS FE GIANVI

HAILEY 1.5/30 HAILEY 24 FE HAILEY FE 1.5/30 HAILEY FE 1/20 HEATHER INCASSIA INTROVALE ISIBLOOM JAIMIESS JASMIEL

Therapeutic Category

Drug Name

JENCYCLA JOLESSA

JULEBER

JUNEL 1.5/30

JUNEL 1/20

JUNEL FE 1.5/30

JUNEL FE 1/20

JUNEL FE 24

KAITLIB FE KALLIGA

KARIVA

KELNOR 1/35 KELNOR 1/50 KURVELO

KYLEENA

LARIN 1.5/30

LARIN 1/20

LARIN 24 FE

LARIN FE 1.5/30

LARIN FE 1/20 LARISSIA

LAYOLIS FE LEENA LESSINA

LEVONEST

LEVONORGESTREL

LEVONORGESTREL AND ETHINYL ESTRADIOL LEVONORGESTREL/ETHINYL ESTRADIOL

LEVORA 0.15/30-28

LILETTA

LILLOW

LO LOESTRIN FE

LOESTRIN 1.5/30-21

LOESTRIN 1/20-21

LOESTRIN FE 1.5/30

LOESTRIN FE 1/20

LOJAIMIESS

LORYNA

LOSEASONIQUE

LOW-OGESTREL

LO-ZUMANDIMINE

LUTERA

LYZA

MARLISSA

MEDROXYPROGESTERONE ACETATE MELODETTA 24 FE MIBELAS 24 FE

Therapeutic Category

Drug Name

MICROGESTIN 1.5/30

MICROGESTIN 1/20

MICROGESTIN 24 FE

MICROGESTIN FE 1.5/30 MICROGESTIN FE 1/20 MILI MINASTRIN 24 FE MIRCETTE MIRENA MONO-LINYAH MONONESSA MY CHOICE MY WAY NATAZIA NECON 0.5/35-28 NECON 1/35 NEW DAY NIKKI NORA-BE NORETHINDRONE NORETHINDRONE & ETHINYL ESTRADIOL FERROUS FUMARATE NORETHINDRONE ACETATE/ETHINYL ESTRADIOL NORETHINDRONE ACETATE/ETHINYL ESTRADIOL/FERROUS FUMARATE NORETHINDRONE/ETHINYL ESTRADIOL/FERROUS FUMARATE NORGESTIMATE/ETHINYL ESTRADIOL NORLYDA NORLYROC NORTREL 0.5/35 (28) NORTREL 1/35 NORTREL 7/7/7 NUVARING OCELLA

OPCICON ONE-STEP OPTION 2 ORSYTHIA ORTHO MICRONOR ORTHO TRI-CYCLEN LO PARAGARD INTRAUTERINE COP PER CONTRACEPTIVE T380A PHILITH PIMTREA PIRMELLA 1/35 PIRMELLA 7/7/7

PLAN B ONE-STEP PORTIA-28 PREVENTEZA PREVIFEM QUARTETTE

Therapeutic Category

Drug Name

REACT RECLIPSEN RIVELSA SAFYRAL SEASONIQUE SETLAKIN SHAROBEL SIMLIYA SIMPESSE SKYLA SLYND SOLIA SPRINTEC 28 SRONYX SYEDA

TAKE ACTION

TARINA 24 FE TARINA FE 1/20 TARINA FE 1/20 EQ TAYTULLA TILIA FE TRI FEMYNOR TRI-ESTARYLLA TRI-LEGEST FE TRI-LINYAH TRI-LO-ESTARYLLA TRI-LO-MARZIA TRI-LO-MILI TRI-LO-SPRINTEC TRI-MILI TRINESSA TRI-PREVIFEM TRI-SPRINTEC TRIVORA-28 TRI-VYLIBRA TRI-VYLIBRA LO TULANA TYBLUME TYDEMY VELIVET VIENVA VIORELE VOLNEA VYFEMLA VYLIBRA WERA WYMZYA FE

Therapeutic Category

Drug Name

XULANE YASMIN 28 YAZ ZAFEMY ZARAH ZOVIA 1/35E ZUMANDIMINE

Gastrointestinal Agents

Bowel Prep

BISACODYL CASCARA SAGRADA GAVILYTE-C GAVILYTE-G GAVILYTE-H GAVILYTE-N/FLAVOR PACK GIALAX MINERAL OIL MURI-LUBE NULYTELY NULYTELY/FLAVOR PACKS PCP 100

PEG-3350,SODIUM SULF,NACL POTASSIUM CL,NA ASCORBATE,ASCORBIC PEG-3350/ELECTROLYTES PEG-3350/ELECTROLYTES/ASC ORBATE PEG-3350/NACL/NA BICARBON ATE/KCL PEG-PREP POLYETHYLENE GLYCOL 3350 SUPREP BOWEL PREP KIT TRILYTE

Therapeutic Category

Drug Name

NICODERM CQ NICORELIEF NICORETTE NICORETTE MINI NICORETTE STARTER KIT NICOTINE NICOTINE MINI LOZENGE NICOTINE POLACRILEX NICOTINE POLACRILEX REFIL L NICOTINE POLACRILEX STARTER KIT NICOTINE STEP 1 NICOTINE STEP 3 NICOTINE TRANSDERMAL SYSTEM NICOTINE TRANSDERMAL SYSTEM STEP 1 NICOTINE TRANSDERMAL SYSTEM STEP 1/CLEAR NICOTINE TRANSDERMAL SYSTEM STEP 2 NICOTINE TRANSDERMAL SYSTEM STEP 2/CLEAR NICOTINE TRANSDERMAL SYSTEM STEP 3 NICOTINE TRANSDERMAL SYSTEM STEP 3/CLEAR NICOTROL INHALER NICOTROL NS

PX STOP SMOKING AID THRIVE

Miscellaneous Products

Contraceptives

CAYA

FC FEMALE CONDOM

FC2 FEMALE CONDOM FEMCAP

OMNIFLEX DIAPHRAGM

WIDE-SEAL SILICONE DIAPHRAGM KIT 60 WIDE-SEAL SILICONE DIAPHRAGM KIT 65 WIDE-SEAL SILICONE DIAPHRAGM KIT 70

WIDE-SEAL SILICONE DIAPHRAGM KIT 75 WIDE-SEAL SILICONE DIAPHRAGM KIT 80 WIDE-SEAL SILICONE DIAPHRAGM KIT 85 WIDE-SEAL SILICONE DIAPHRAGM KIT 90 WIDE-SEAL SILICONE DIAPHRAGM KIT 95

FLORIVA

FLORIVA

Therapeutic Category

Drug Name

FLUORABON FLUORIDE FLUORITAB FLURA-DROPS INFUVITE PEDIATRIC M.V.I. PEDIATRIC MULTI-VIT/IRON/FLUORIDE MULTIVITAMIN WITH FLUORIDE MULTIVITAMIN/FLUORIDE MULTI-VITAMIN/FLUORIDE DROPS MULTI-VITAMIN/FLUORIDE/IRON MULTIVITAMINS/FLUORIDE NAFRINSE NAFRINSE DROPS POLY-VI-FLOR POLY-VI-FLOR FS POLY-VI-FLOR/IRON POLY-VITAMIN/FLUORIDE QUFLORA FE PEDIATRIC QUFLORA GUMMIES QUFLORA PEDIATRIC SODIUM FLUORIDE TRI-VI-FLOR TRI-VI-FLORO TRI-VITAMIN/FLUORIDE TRI-VITE/FLUORIDE VITAMAX PEDIATRIC VITAMINS A/C/D/FLUORIDE

Iron Supplements

ANIMAL SHAPES/IRON BITE-A-MINS/IRON BPROTECTED PEDIA POLY-VITE/IRON CEROVITE JR CHILDRENS ANIMAL SHAPES COMPLETE CHILDRENS CHEWABLE MULTIVITAMIN WITH IRON CHILDRENS CHEWABLE VITAMINS/IRON DINO-LIFE W/IRON & ZINC FLINTSTONES COMPLETE FLINTSTONES W/IRON FRUITY CHEWS/IRON GNP ANIMAL SHAPES PLUS IR ON GNP CHILDRENS CHEWABLES/I RON HM ANIMAL SHAPES HONEY BEARS W/IRON AND ZI NC LAND BEFORE TIME MULTIVITAMIN/IRON LITTLE ANIMALS PLUS IRON

Therapeutic Category

Drug Name

MULTIPLE VITAMINS/IRON MULTI-VIT/IRON/FLUORIDE MULTIVITAMIN PLUS IRON CHILDRENS MULTI-VITAMIN/FLUORIDE/IRON PC PEDIATRIC POLY-VITAMIN DROPS/IRON POLY-VI-SOL/IRON POLY-VITA/IRON POLY-VITAMIN/IRON DROPS PX CHILDRENS VITAMIN SCOOBY-DOO ONE A DAY ULTRA CHOICE MULTIVITAMIN KIDS ZOO FRIENDS PLUS IRON

Topical Products

Gonorrhea Newborn Prevention ERYTHROMYCIN

ANTIANGINAL AGENTS

*Nitrates**

DILATRATE SR GONITRO ISORDIL TITRADOSE ISOSORBIDE DINITRATE ISOSORBIDE MONONITRATE ISOSORBIDE MONONITRATE ER MINITRAN NITRO-BID NITRO-DUR NITROGLYCERIN NITROGLYCERIN LINGUAL NITROGLYCERIN TRANSDERMAL NITROLINGUAL PUMPSPRAY NITROMIST NITROSTAT NITRO-TIME

ANTIASTHMATIC

ACCOLATE

MONTELUKAST SODIUM SINGULAIR ZAFIRLUKAST ZILEUTON ER ZYFLO

Therapeutic Category

*Steroid Inhalants**

Drug Name

ARNUITY ELLIPTA ASMANEX HFA ASMANEX TWISTHALER BUDESONIDE FLOVENT DISKUS FLOVENT HFA PULMICORT QVAR REDIHALER

*Sympathomimetics/Combination Products**

ADVAIR DISKUS ADVAIR HFA

ALBUTEROL SULFATE ALBUTEROL SULFATE ER ALBUTEROL SULFATE HFA ANORO ELLIPTA ARCAPTA NEOHALER BREO ELLIPTA BREZTRI AEROSPHERE BROVANA

COMBIVENT RESPIMAT DULERA

FLUTICASONE PROPIONATE/SA LMETEROL FLUTICASONE PROPIONATE/SALMETEROL DISKUS IPRATROPIUM BROMIDE/ALBUT EROL SULFATE PROAIR HFA PROVENTIL HFA SEREVENT DISKUS STIOLTO RESPIMAT STRIVERDI RESPIMAT SYMBICORT

TERBUTALINE SULFATE TRELEGY ELLIPTA VENTOLIN HFA XOPENEX

ANTIDEPRESSANTS

*Selective

CELEXA

CITALOPRAM

ESCITALOPRAM OXALATE FLUOXETINE DR FLUOXETINE HCL FLUVOXAMINE MALEATE FLUVOXAMINE MALEATE ER LEXAPRO PAROXETINE HCL

Therapeutic Category

Drug Name

PAROXETINE HCL ER PAXIL PAXIL CR PEXEVA PROZAC SERTRALINE HCL ZOLOFT

*Tricyclic Agents**

AMITRIPTYLINE HCL AMOXAPINE ANAFRANIL CLOMIPRAMINE HCL DESIPRAMINE HCL DOXEPIN HCL IMIPRAMINE HCL IMIPRAMINE PAMOATE NORPRAMIN NORTRIPTYLINE HCL PAMELOR PROTRIPTYLINE HCL TRIMIPRAMINE MALEATE

ANTIDIABETICS

*Alpha-Glucosidase Inhibitors** ACARBOSE GLYSET MIGLITOL PRECOSE

*Antidiabetic Combinations** ACTOPLUS MET DUETACT GLIPIZIDE/METFORMIN HYDROCHLORIDE GLYXAMBI JANUMET JANUMET XR KOMBIGLYZE XR PIOGLITAZONE HCL/METFORMIN HCL PIOGLITAZONE HCL-GLIMEPIRIDE SOLIQUA 100/33 SYNJARDY SYNJARDY XR TRIJARDY XR XIGDUO XR XULTOPHY 100/3.6

*Biguanides** FORTAMET

GLUMETZA METFORMIN HYDROCHLORIDE METFORMIN HYDROCHLORIDE ER RIOMET RIOMET ER

BAQSIMI DIAZOXIDE GLUCAGEN HYPOKIT GLUCAGON EMERGENCY KIT GVOKE HYPOPEN GVOKE PFS PROGLYCEM

Therapeutic Category

Drug Name

STARLIX

*Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors** FARXIGA JARDIANCE

*Sulfonylureas** AMARYL GLIMEPIRIDE GLIPIZIDE GLIPIZIDE ER GLIPIZIDE XL GLUCOTROL GLUCOTROL XL GLYBURIDE GLYBURIDE MICRONIZED GLYNASE TOLBUTAMIDE

ANTIHYPERLIPIDEMICS

*Antihyperlipidemics - Combinations** EZETIMIBE/SIMVASTATIN NEXLIZET VYTORIN

*Antihyperlipidemics - Misc.** ICOSAPENT ETHYL LOVAZA VASCEPA

*Bile Acid Sequestrants** CHOLESTYRAMINE CHOLESTYRAMINE LIGHT COLESEVELAM HYDROCHLORIDE COLESTID COLESTIPOL HCL PREVALITE QUESTRAN QUESTRAN LIGHT WELCHOL

*HMG CoA Reductase Inhibitors**

ALTOPREV ATORVASTATIN CALCIUM CRESTOR EQUAPAX/ATORVASTATIN CALC IUM/COQ10 FLOLIPID FLUVASTATIN FLUVASTATIN SODIUM ER

LESCOL XL LIPITOR

LIVALO LOVASTATIN PRAVACHOL

ROSUVASTATIN CALCIUM SIMVASTATIN ZOCOR

ANTIHYPERTENSIVES

ACCUPRIL ALTACE BENAZEPRIL HCL CAPTOPRIL ENALAPRIL MALEATE EPANED FOSINOPRIL SODIUM LISINOPRIL LOTENSIN MOEXIPRIL HCL PERINDOPRIL ERBUMINE PRINIVIL QBRELIS QUINAPRIL HCL RAMIPRIL TRANDOLAPRIL VASOTEC ZESTRIL

ATACAND AVAPRO BENICAR CANDESARTAN CILEXETIL COZAAR

Therapeutic Category

Drug Name

DIOVAN EDARBI

IRBESARTAN

LOSARTAN POTASSIUM MICARDIS

OLMESARTAN MEDOXOMIL TELMISARTAN VALSARTAN

*Antiadrenergic Antihypertensives**

CARDURA

CATAPRES

CLONIDINE HCL DOXAZOSIN GUANFACINE HCL METHYLDOPA MINIPRESS PRAZOSIN HCL TERAZOSIN HCL

*Antihypertensive Combinations**

ACCURETIC

AMLODIPINE BESYLATE/BENAZ EPRIL HCL

AMLODIPINE BESYLATE/VALSA RTAN

AMLODIPINE/OLMESARTAN MED OXOMIL

AMLODIPINE/VALSARTAN/HCTZ ATACAND HCT

ATENOLOL/CHLORTHALIDONE AVALIDE

AZOR

BENAZEPRIL HCL/HYDROCHLOR OTHIAZIDE BENICAR HCT BISOPROLOL FUMARATE/HYDRO CHLOROTHIAZIDE

CANDESARTAN CILEXETIL/HYD ROCHLOROTHIAZIDE

CAPTOPRIL/HYDROCHLOROTHIA ZIDE DIOVAN HCT

DUTOPROL

EDARBYCLOR

ENALAPRIL MALEATE/HYDROCH LOROTHIAZIDE EXFORGE EXFORGE HCT

FOSINOPRIL SODIUM/HYDROCH LOROTHIAZIDE

HYZAAR

IRBESARTAN/HYDROCHLOROTHI AZIDE

LISINOPRIL/HYDROCHLOROTHI AZIDE

LOPRESSOR HCT

LOSARTAN POTASSIUM/HYDROC HLOROTHIAZIDE

LOTENSIN HCT

LOTREL

METHYLDOPA/HYDROCHLOROTHI AZIDE

METOPROLOL/HYDROCHLOROTHI AZIDE

MICARDIS HCT

OLMESARTAN MEDOXOMIL/AMLO DIPINE/HYDROCHLOROTHIAZIDE

OLMESARTAN MEDOXOMIL/HYDR OCHLOROTHIAZIDE

PRESTALIA

PROPRANOLOL/HYDROCHLOROTH IAZIDE

QUINAPRIL/HYDROCHLOROTHIA ZIDE

TARKA

TEKTURNA HCT

TELMISARTAN/AMLODIPINE

TELMISARTAN/HYDROCHLOROTH IAZIDE

TENORETIC

TRANDOLAPRIL/VERAPAMIL HC L ER TRIBENZOR

TWYNSTA

VALSARTAN/HYDROCHLOROTHIA ZIDE VASERETIC ZESTORETIC

ZIAC

Therapeutic Category

Drug Name

TENORMIN TOPROL XL

*Beta Blockers Non-Selective** BETAPACE BETAPACE AF CORGARD HEMANGEOL INDERAL LA INDERAL XL INNOPRAN XL NADOLOL PINDOLOL PROPRANOLOL HCL PROPRANOLOL HCL ER SOTALOL HCL SOTALOL HCL (AF) SOTYLIZE TIMOLOL MALEATE

*CALCIUM CHANNEL

AMLODIPINE BESYLATE AMLODIPINE BESYLATE/SYRSP END SF PH4

CALAN SR CARDIZEM CARDIZEM CD CARDIZEM LA CARTIA XT CONJUPRI DILTIAZEM HCL DILTIAZEM HCL CD DILTIAZEM HCL ER DILT-XR FELODIPINE ER ISRADIPINE KATERZIA MATZIM LA NICARDIPINE HCL NIFEDIPINE NIFEDIPINE ER NIMODIPINE NISOLDIPINE ER NORVASC PROCARDIA PROCARDIA XL SULAR TAZTIA XT TIADYLT ER

CALCIUM CHANNEL BLOCKERS

DIURETICS

Therapeutic Category

Drug Name

TIAZAC

VERAPAMIL HCL

VERAPAMIL HCL ER

VERAPAMIL HCL SR

VERELAN

VERELAN PM

*Carbonic

ACETAZOLAMIDE

ACETAZOLAMIDE ER METHAZOLAMIDE

ALDACTAZIDE

AMILORIDE/HYDROCHLOROTHIA ZIDE DYAZIDE MAXZIDE SPIRONOLACTONE/HYDROCHLOR OTHIAZIDE TRIAMTERENE/HYDROCHLOROTH IAZIDE

BUMETANIDE BUMEX EDECRIN ETHACRYNIC ACID FUROSEMIDE LASIX TORSEMIDE

ALDACTONE AMILORIDE HCL CAROSPIR DYRENIUM SPIRONOLACTONE TRIAMTERENE *Thiazides

CHLORTHALIDONE

DIURIL

HYDROCHLOROTHIAZIDE INDAPAMIDE METOLAZONE

ENDOCRINE AND METABOLIC AGENTS

ALENDRONATE SODIUM ATELVIA BINOSTO BONIVA

CALCITONIN SALMON ETIDRONATE DISODIUM FOSAMAX FOSAMAX PLUS D IBANDRONATE SODIUM MIACALCIN NATPARA RISEDRONATE SODIUM TYMLOS

HEMATOLOGICAL

AGRYLIN ANAGRELIDE HYDROCHLORIDE ASPIRIN/DIPYRIDAMOLE ASPIRIN/DIPYRIDAMOLE ER ASPIRIN/OMEPRAZOLE BRILINTA CILOSTAZOL CLOPIDOGREL DIPYRIDAMOLE DURLAZA EFFIENT PLAVIX PRASUGREL YOSPRALA ZONTIVITY

Asthma

Therapeutic Category

Drug Name

DEXILANT

ESOMEPRAZOLE MAGNESIUM ESOMEPRAZOLE STRONTIUM LANSOPRAZOLE LANSOPRAZOLE ODT NEXIUM

OMEPRAZOLE OMEPRAZOLE DR PANTOPRAZOLE SODIUM PREVACID PREVACID SOLUTAB PRILOSEC PROTONIX RABEPRAZOLE SODIUM

CROMOLYN SODIUM NEBULIZATION SOLN SPIRIVA RESPIMAT THEO-24 THEOPHYLLINE

Blood Clots

ELIQUIS HEPARIN WARFARIN JANTOVEN XARELTO

Heart/High Blood Pressure

BIDIL DIGITEK DIGOXIN DIGOX LANOXIN RANOLAZINE ER SORINE

High Cholesterol

Osteoporosis

ATORVASTATIN/AMLODIPINE

AMABELZ

ESTRADIOL & NORETHINDRONE ACETATE CLIMARA PRO COMBIPATCH FYAVOLV DOTTI LYLLANA ESTRADIOL PATCH JINTELI

Therapeutic Category

Drug Name

MIMVEY LO MIMVEY

NORETHINDRONE ACETATE-ETHINYL ESTRADIOL MENEST PREMARIN PREMPHASE PREMPRO

This list is current as of November 2021, and is subject to change with the availability of new medications, settlement agreements, additional patents, exclusivities, and FDA approvals. The reference to any medication above does not mean the medication is covered by your plan. The information contained within this document is proprietary and confidential and cannot be used, shared, or otherwise be made available for use without prior written approval by BeneCard PBF.