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100-6926 core list

2008 List of Preventive Medications
Here is your 2008 List of Preventive Medications. This booklet provides information on medications
that are excluded from the deductible requirements of your pharmacy benefit. Medications on the 2008
List of Preventive Medications are covered at your pharmacy benefit copay levels regardless of your
deductible requirements. Please reference your Prescription Drug List Consumer Reference Guide
or go to www.myuhc.com to determine the tier and copay levels for the medications in the 2008
List of Preventive Medications.
Medications listed in the first section of the 2008 List of Preventive Medications are sorted alphabetically.
Medications in the second section are sorted by therapeutic category by tier. If you have additionalquestions about your pharmacy benefit, please call the Customer Care number on your ID card. 2008 List of Preventive Medications - Alphabetical
Drugs List
2008 List of Preventive Medications - Alphabetical
2008 List of Preventive Medications by Drug Class
Anti-coagulant
Antihypertensives
Beta Blockers
(heart attack and stroke
(blood pressure)
prevention)
Diuretics
Anti-estrogen
(breast cancer
prevention)
Anti-platelet
(stroke prevention)
Tenormin TimololToprol XLTrandate Visken Zebeta 2008 List of Preventive Medications by Drug Class
Calcium Channel Blockers
Angiotensin Converting
Adrenergic Antagonists
Enzyme Inhibitors
Vasodilators
Angiotensin II Receptor Blockers
2008 List of Preventive Medications by Drug Class
Combination Antihypertensives
Renin Inhibitors
Capozide Captopril/Hydrochlorothiazide Clonidine/Chlorthalidone Combipres Corzide Diltiazem/EnalaprilDiovan HCTEnalapril/Felodipine Enalapril/Hydrochlorothiazide Fosinopril/HydrochlorothiazideHyzaar Inderide Irbesartan/Hydrochlorothiazide LexxelLisinopril/Hydrochlorothiazide Lopressor HCTLosartan/Hydrochlorothiazide Lotensin HCTLotrel Methyldopa/Chlorothiazide Methyldopa/Hydrochlorothiazide Metoprolol/Hydrochlorothiazide Micardis HCTMinizide Moexipril/Hydrochlorothiazide Monopril HCTNadolol/Bendroflumethiazide Olmesartan/Hydrochlorothiazide Prazosin/Polythiazide Propranolol/Hydrochlorothiazide Prinzide Quinapril/HydrochlorothiazideTarka Teczem Telmisartan/Hydrochlorothiazide 2008 List of Preventive Medications by Drug Class
Lipid/Cholesterol
Niacin
Osteoporosis Therapy
Lowering Agents
(healthy bones)
(heart attack and heart
Estrogens
disease prevention)
Other
Bile Acid Sequestrants
Combinations
Estrogen/Progestin Combinations
Statins
Bisphosphonates
Fibric Acid Derivatives
Selective Estrogen Receptor
2008 List of Preventive Medications by Drug Class
Vitamins & Hematinics
Pediatric Vitamins with Fluoride
(for example Florvite,
Poly-Vi-Flor,Tri-A-Vite F, Tri-Vi-Flor,
Florvite, Vi-Daylin/F ADC,
Soluvite-f)
Generic Products
Brand Name Products
Prenatal Multivitamins with Iron
and Folic Acid
(for example Prenate, Materna,
Stuartnatal, Natalins, Nestabs FA)
Generic Products
Brand Name Products

Source: http://www.husd.org/cms/lib07/AZ01001450/Centricity/Domain/758/UHCListPreventiveMeds.pdf

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