Preventive Drug Coverage
Your employer has elected to include a Preventive Drug
The drugs listed below are grouped into broad categories.
coverage feature with your prescription benefit plan. Below is
Each category includes an alphabetical list of drugs. Generic
the list of medications available under your Preventive Drug
drugs are available for many of the brands noted on this list.
coverage. The actual cost of the medication will be applied
You are encouraged to use generic drugs.
toward the preventive benefit offered by your employer,
• generic drugs are listed in bold, lower-case type.
allowing you to receive coverage even if you have not met your deductible. Benefits will be provided in accordance with
• brand drugs are listed in all CAPITAL LETTERS.
U.S. Department of the Treasury and Internal Revenue Service
g brand drug names followed by a “g” means generic
(IRS) guidance with Health Spending Accounts (HSAs) and
qualified High Deductible Health Plans (HDHPs). This list will be reviewed periodically and is subject to change. a n t i h y P e r t e n s i v e s Cartia xt
ACCUPRIL g
ACCURETIC g
CATAPRES g acebutolol
ISOPTIN SR g chlorothiazide isradipine
ADALAT CC g chlorthalidone
KERLONE g
ALDACTAZIDE g clonidine labetalol
ALDACTONE g
ALDORIL g
CORGARD g amiloride/hydrochlorothiazide
CORZIDE g lisinopril lisinopril/hydrochlorothiazide
LOPRESSOR HCT g atenolol
DEMADEX g
LOTENSIN g atenolol/chlorthalidone
LOTENSIN HCT g Diltia xt diltiazem benazepril diltiazem er benazepril/hydrochlorothiazide
MAXZIDE g
MAXZIDE-25 g
BETAPACE g doxazosin methyldopa
BETAPACE AF g
DYAZIDE g methyldopa/hydrochlorothiazide betaxolol metolazone metoprolol bisoprolol metoprolol/hydrochlorothiazide bisoprolol/hydrochlorothiazide enalapril
BLOCADREN g enalapril/hydrochlorothiazide bumetanide felodipine er
MICROZIDE g fosinopril
MINIPRESS g fosinopril/hydrochlorothiazide furosemide minoxidil
CALAN SR g
CAPOTEN g guanfacine
MONOPRIL g
CAPOZIDE g hydralazine
MONOPRIL HCT g captopril captopril/hydrochlorothiazide hydrochlorothiazide nicardipine
CARDENE g nifediac CC nifedical xl
CARDIZEM g indapamide nifedipine
CARDIZEM CD g
INDERAL g nifedipine er
CARDURA g
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of Blue Cross and Blue Shield Association. pindolol Dentall 1100 Plus
PLENDIL g
DESOGEN g prazosin g enpresse ethedent
PRINIVIL g fluorabon
PRINZIDE g fluor-a-day
PROCARDIA g jolivette fluoritab
PROCARDIA XL g flura-drops propranolol
GEL-KAM g propranolol/hydrochlorothiazide just for kids quinapril karidium quinapril/hydrochlorothiazide quinaretic
LEVLITE g karigel-n lozi-flur
LO/OVRAL g
SECTRAL g
LOESTRIN g neutragard advanced
LOESTRIN FE g
OMNIIGEL g low-ogestrel
OMNII MED DENTAL g sotalol (af) Perfect Choice brush-on spironolactone microgestin Perio med spironolactone/hydrochlorothiazide microgestin fe Pharmaflur
MIRCETTE g
MODICON g
PREVIDENT RINSE g taztia xt mononessa
PREVIDENT 5000 PLUS g
TENORETIC g
PREVIDENT FLUORIDE g
NORDETTE g terazosin g
NORINYL g sf 5000 Plus sodium fluoride stannous fluoride
THERA-FLUR-N g
ORTHO MICRONOR g
ORTHO TRI-CYCLEN g l i P i D - l o w e r i n g torsemide
ORTHO-CEPT g triamterene/hydrochlorothiazide
ORTHO-CYCLEN g
ORTHO-NOVUM g cholestyramine cholestyramine light
VASERETIC g
COLESTID g
VASOTEC g verapamil Previfem fenofibrate verapamil er reclipsen gemfibrozil
VERELAN g
ZAROXOLYN g sprintec
TRI-LEVLEN g
LOFIBRA g
ZESTORETIC g trinessa
ZESTRIL g
TRI-NORINYL g lovastatin
TRIPHASIL g
MEVACOR g C o n t r a C e P t i v e s tri-Previfem tri-sprintec
PRAVACHOL g aranelle pravastatin Prevalite
BREVICON g
QUESTRAN g f l u o r i D e s u P P l e m e n t s
QUESTRAN LIGHT g Cavirinse simvastatin Cryselle Controlrx Denta 5000 Plus
DEMULEN g Dentagel
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of Blue Cross and Blue Shield Association. Prenatal-u o s t e o P o r o s i s
PRIMACARE ONE ultra natalcare vinate gt vinate ii
BONIVA DIDRONEL g s m o k i n g C e s s at i o n etidronate buproban bupropion sr nicotine patch fortical
MIACALCIN g w e i g h t l o s s
ADIPEX-P g P e D i at r i C v i ta m i n s
BONTRIL PDM g w / f l u o r i D e chewable multivitamins/fluoride/iron chewable multivite w/fluoride diethylpropion multiple vitamins/fluoride diethylpropion er multivitamin drops/fluoride multivitamin drops/fluoride/iron multivitamins/fluoride/iron phendimetrazine
POLY-VI-FLOR g phendimetrazine er
POLY-VI-FLOR/IRON g phentermine hCl
TRI-VI-FLOR g vitamins a/d/c/fluoride P r e n ata l v i ta m i n s advanced natalcare advanced-rf natalcare Cal-nate CENOGEN ULTRA g CITRACAL PRENATAL RX g Duet tabs DUET DHA ICAR PRENATAL COMBO PACK nataCaps natafort natalCare glosstabs natalCare Plus natatab fa natatab rx NATELLE NATELLE PREFER NOVANATAL g nutrinate nutrispire OPTINATE PRECARE PRECARE CONCEIVE PRECARE PRENATAL PREMESIS RX Prenatal formula 3 Prenatal mr 90 fe Prenatal mtr/selenium Prenatal Plus Prenatal rx 1 Prenatal-h Prime therapeutics llC is the pharmacy benefit manager for blue Cross and blue shield of texas.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of Blue Cross and Blue Shield Association.
44164-0906 PRIME THER APEUTICS LLC (41722-E)
Dr. Petheő Gábor OTKA pályázatokhoz csatolandó közleményjegyzéke, Created on 2/24/2011 12:00 PM Eredeti közlemények (cikkek): 1 : Petheő GL , Orient A, Baráth M, Kovács I, Réthi B, Lányi A, Rajki A, Rajnavölgyi E, Geiszt M. Molecular and functional characterization of Hv1 proton channel in human granulocytes. PLoS One. 2010 Nov 23;5(11):e14081. IF: 4.351 (2010-ben), Cit
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