Some employer/group plans and all Individual-Under 65 plans include an HSA Preventive Drug coverage feature with your prescription benefit plan. The actual cost of the medication will be applied toward the preventive benefit offered, allowing you to receive coverage even if you have not met your deductible. Benefits will be provided in accordance with U.S. Department of the Treasury and Internal Revenue Service (IRS) guidance with Health Spending Accounts (HSAs) and qualified High Deductible Health Plans (HDHPs).

The drugs listed below are grouped into broad categories. Each category includes an alphabetical list of drugs. Please verify with your plan if a generic drug must be tried before filling a brand version of a drug. Please refer to your benefit materials for coverage details and the plan website for current information as this publication is subject to change.

Generic prescription drugs are shown in lower-case boldface type. Most generic drugs are followed by a reference brand drug in (parentheses). Reference brands may not themselves be covered, please check your benefit. Some generic products have no reference brand. Brand prescription drugs are shown in capital letters followed by the generic name. Generic medicines are available for many of the brand-name drugs listed though may not be available in all strengths. 

ANTI-COAGULANTS/ANTI-PLATELETS

anagrelide hcl cap 0.5 mg (Agrylin)
anagrelide hcl cap 1 mg
aspirin-dipyridamole cap er 12hr 25-200 mg
cilostazol tab 50 mg
cilostazol tab 100 mg
clopidogrel bisulfate tab 75 mg (base equiv) (Plavix)
clopidogrel bisulfate tab 300 mg (base equiv)
dabigatran etexilate mesylate cap 75 mg (etexilate base eq) (Pradaxa)
dabigatran etexilate mesylate cap 150 mg (etexilate base eq) (Pradaxa)
dipyridamole tab 25 mg
dipyridamole tab 50 mg
dipyridamole tab 75 mg
prasugrel hcl tab 5 mg (base equiv) (Effient)
prasugrel hcl tab 10 mg (base equiv) (Effient)
warfarin sodium tab 1 mg
warfarin sodium tab 2 mg
warfarin sodium tab 2.5 mg 
warfarin sodium tab 3 mg 
warfarin sodium tab 4 mg 
warfarin sodium tab 5 mg
warfarin sodium tab 6 mg
warfarin sodium tab 7.5 mg
warfarin sodium tab 10 mg 

DIABETES MEDICATIONS

Insulin (continued)

NOVOLIN 70/30 – insulin nph isophane & regular human inj 100 unit/ml (70-30) NOVOLIN 70/30 RELION – insulin nph isophane & regular human inj 100 unit/ml (70-30) NOVOLIN 70/30 FLEXPEN – insulin nph & regular susp pen-inj 100 unit/ml (70-30)
NOVOLIN 70/30 FLEXPEN RELION – insulin nph & regular susp pen-inj 100 unit/ml (70-30)
NOVOLOG – insulin aspart inj soln 100 unit/ml
NOVOLOG FLEXPEN – insulin aspart soln pen-injector 100 unit/ml
NOVOLOG FLEXPEN RELION – insulin aspart soln pen-injector 100 unit/ml NOVOLOG MIX 70/30 – insulin aspart prot & aspart (human) inj 100 unit/ml (70-30) 

NOVOLOG MIX 70/30 PREFILLED FLEXPEN – insulin aspart prot & aspart sus pen-inj 100 unit/ml (70-30)
NOVOLOG MIX 70/30 PREFILLED FLEXPEN RELION – insulin aspart prot & aspart sus pen-inj 100 unit/ml (70-30)
NOVOLOG MIX 70/30 RELION – insulin aspart prot & aspart (human) inj 100 unit/ml (70-30)
NOVOLOG PENFILL – insulin aspart soln cartridge 100 unit/ml
NOVOLOG RELION – insulin aspart inj 100 unit/ml
SEMGLEE – insulin glargine-yfgn inj 100 unit/ml
SEMGLEE – insulin glargine-yfgn soln pen-injector 100 unit/ml
TOUJEO SOLOSTAR – insulin glargine soln pen-injector 300 unit/ml (1 unit dial) TOUJEO MAX SOLOSTAR – insulin glargine soln pen-injector 300 unit/ml (2 unit dial) TRESIBA – insulin degludec inj 100 unit/ml
TRESIBA FLEXTOUCH – insulin degludec soln pen-injector 100 unit/ml
TRESIBA FLEXTOUCH – insulin degludec soln pen-injector 200 unit/ml

Oral

acarbose tab 25 mg (Precose)
acarbose tab 50 mg (Precose)
acarbose tab 100 mg (Precose)
glimepiride tab 1 mg
glimepiride tab 2 mg
glimepiride tab 4 mg
glipizide tab er 24hr 2.5 mg (Glucotrol xl)
glipizide tab er 24hr 5 mg (Glucotrol xl)
glipizide tab er 24hr 10 mg (Glucotrol xl)
glipizide tab 5 mg
glipizide tab 10 mg
glipizide-metformin hcl tab 2.5-250 mg
glipizide-metformin hcl tab 2.5-500 mg
glipizide-metformin hcl tab 5-500 mg
glyburide micronized tab 1.5 mg (Glynase)
glyburide micronized tab 3 mg (Glynase)
glyburide micronized tab 6 mg (Glynase)
glyburide tab 1.25 mg
glyburide tab 2.5 mg
glyburide tab 5 mg
glyburide-metformin tab 1.25-250 mg
glyburide-metformin tab 2.5-500 mg
glyburide-metformin tab 5-500 mg
metformin hcl tab 500 mg
metformin hcl tab 850 mg
metformin hcl tab 1000 mg
metformin hcl tab er 24hr 500 mg
metformin hcl tab er 24hr 750 mg
nateglinide tab 60 mg
nateglinide tab 120 mg
pioglitazone hcl tab 15 mg (base equiv) (Actos)
pioglitazone hcl tab 30 mg (base equiv) (Actos)
pioglitazone hcl tab 45 mg (base equiv) (Actos)
pioglitazone hcl-metformin hcl tab 15-500 mg
pioglitazone hcl-metformin hcl tab 15-850 mg (Actoplus met)
repaglinide tab 0.5 mg
repaglinide tab 1 mg
repaglinide tab 2 mg

DIABETIC SUPPLIES

Calibration Liquid
ASCENCIA CONTOUR
ASCENCIA CONTOUR NEXT
LIFESCAN ONETOUCH ULTRA
LIFESCAN ONETOUCH VERIO

Insulin Syringes
Lancets
Lancet Devices
Pen Needles
Test Strips & Discs
ASCENCIA CONTOUR
ASCENCIA CONTOUR NEXT
LIFESCAN ONETOUCH ULTRA
LIFESCAN ONETOUCH ULTRA BLUE
LIFESCAN ONETOUCH VERIO

HIGH BLOOD PRESSURE

acebutolol hcl cap 200 mg
acebutolol hcl cap 400 mg
amiloride hcl tab 5 mg amiloride & hydrochlorothiazide tab 5-50 mg
amlodipine besylate tab 2.5 mg (base equivalent) (Norvasc)
amlodipine besylate tab 5 mg (base equivalent) (Norvasc)
amlodipine besylate tab 10 mg (base equivalent) (Norvasc)
amlodipine besylate-benazepril hcl cap 2.5-10 mg
amlodipine besylate-benazepril hcl cap 5-10 mg (Lotrel)
amlodipine besylate-benazepril hcl cap 5-20 mg (Lotrel)
amlodipine besylate-benazepril hcl cap 5-40 mg amlodipine besylate-benazepril hcl cap 10-20 mg (Lotrel)
amlodipine besylate-benazepril hcl cap 10-40 mg (Lotrel)
amlodipine besylate-olmesartan medoxomil tab 5-20 mg (Azor)
amlodipine besylate-olmesartan medoxomil tab 5-40 mg (Azor)
amlodipine besylate-olmesartan medoxomil tab 10-20 mg (Azor)
amlodipine besylate-olmesartan medoxomil tab 10-40 mg (Azor) 
amlodipine besylate-valsartan tab 5-160 mg (Exforge)
amlodipine besylate-valsartan tab 5-320 mg (Exforge)
amlodipine besylate-valsartan tab 10-160 mg (Exforge)
amlodipine besylate-valsartan tab 10-320 mg (Exforge)
amlodipine-valsartan-hydrochlorothiazide tab 5-160-12.5 mg (Exforge hct) amlodipine-valsartan-hydrochlorothiazide tab 5-160-25 mg (Exforge hct) amlodipine-valsartan-hydrochlorothiazide tab 10-160-12.5 mg (Exforge hct) amlodipine-valsartan-hydrochlorothiazide tab 10-160-25 mg (Exforge hct) amlodipine-valsartan-hydrochlorothiazide tab 10-320-25 mg (Exforge hct) atenolol tab 25 mg (Tenormin)
atenolol tab 50 mg (Tenormin)
atenolol tab 100 mg (Tenormin)
atenolol & chlorthalidone tab 50-25 mg (Tenoretic 50)
atenolol & chlorthalidone tab 100-25 mg (Tenoretic 100)
benazepril hcl tab 5 mg benazepril hcl tab 10 mg (Lotensin)
benazepril hcl tab 20 mg (Lotensin)
benazepril hcl tab 40 mg (Lotensin)
benazepril & hydrochlorothiazide tab 5-6.25 mg
benazepril & hydrochlorothiazide tab 10-12.5 mg (Lotensin hct)
benazepril & hydrochlorothiazide tab 20-12.5 mg (Lotensin hct)
benazepril & hydrochlorothiazide tab 20-25 mg (Lotensin hct)
betaxolol hcl tab 10 mg
betaxolol hcl tab 20 mg
bisoprolol fumarate tab 5 mg
bisoprolol fumarate tab 10 mg
bisoprolol & hydrochlorothiazide tab 2.5-6.25
mg bisoprolol & hydrochlorothiazide tab 5-6.25 mg
bisoprolol & hydrochlorothiazide tab 10-6.25 mg
bumetanide tab 0.5 mg (Bumex)
bumetanide tab 1 mg
bumetanide tab 2 mg
candesartan cilexetil tab 4 mg (Atacand)
candesartan cilexetil tab 8 mg (Atacand)
candesartan cilexetil tab 16 mg (Atacand)
candesartan cilexetil tab 32 mg (Atacand)
candesartan cilexetil-hydrochlorothiazide tab 16-12.5 mg (Atacand hct) candesartan cilexetil-hydrochlorothiazide tab 32-12.5 mg (Atacand hct) candesartan cilexetil-hydrochlorothiazide tab 32-25 mg (Atacand hct)
captopril tab 12.5 mg
captopril tab 25 mg
captopril tab 50 mg
captopril tab 100 mg
carvedilol tab 3.125 mg (Coreg)
carvedilol tab 6.25 mg (Coreg)
carvedilol tab 12.5 mg (Coreg)
carvedilol tab 25 mg (Coreg)
chlorthalidone tab 25 mg
chlorthalidone tab 50 mg
clonidine hcl tab 0.1 mg
clonidine hcl tab 0.2 mg

HIGH BLOOD PRESSURE (CONTINUED)

clonidine hcl tab 0.3 mg
clonidine td patch weekly 0.1 mg/24hr (Catapres-tts-1)
clonidine td patch weekly 0.2 mg/24hr (Catapres-tts-2)
clonidine td patch weekly 0.3 mg/24hr (Catapres-tts-3)
diltiazem hcl tab 30 mg (Cardizem)
diltiazem hcl tab 60 mg (Cardizem)
diltiazem hcl tab 90 mg diltiazem hcl tab 120 mg (Cardizem)
diltiazem hcl cap er 12hr 60 mg
diltiazem hcl cap er 12hr 90 mg
diltiazem hcl cap er 12hr 120 mg
diltiazem hcl cap er 24hr 120 mg
diltiazem hcl cap er 24hr 180 mg
diltiazem hcl cap er 24hr 240 mg
diltiazem hcl coated beads cap er 24hr 120 mg (Cardizem cd)
diltiazem hcl coated beads cap er 24hr 180 mg (Cardizem cd)
diltiazem hcl coated beads cap er 24hr 240 mg (Cardizem cd)
diltiazem hcl coated beads cap er 24hr 300 mg (Cardizem cd)
diltiazem hcl extended release beads cap er 24hr 120 mg (Tiazac)
diltiazem hcl extended release beads cap er 24hr 180 mg (Tiazac)
diltiazem hcl extended release beads cap er 24hr 240 mg (Tiazac)
diltiazem hcl extended release beads cap er 24hr 300 mg (Tiazac)
diltiazem hcl extended release beads cap er 24hr 360 mg (Tiazac)
diltiazem hcl extended release beads cap er 24hr 420 mg (Tiazac)
diltiazem hcl tab er 24hr 120 mg (Cardizem la)
diltiazem hcl tab er 24hr 180 mg (Cardizem la)
diltiazem hcl tab er 24hr 240 mg (Cardizem la)
diltiazem hcl tab er 24hr 300 mg (Cardizem la)
diltiazem hcl tab er 24hr 360 mg (Cardizem la)
diltiazem hcl tab er 24hr 420 mg (Cardizem la)
doxazosin mesylate tab 1 mg (Cardura)
doxazosin mesylate tab 2 mg (Cardura)
doxazosin mesylate tab 4 mg (Cardura) 
doxazosin mesylate tab 8 mg (Cardura)
enalapril maleate oral soln 1 mg/ml (Epaned)
enalapril maleate tab 2.5 mg (Vasotec)
enalapril maleate tab 5 mg (Vasotec)
enalapril maleate tab 10 mg (Vasotec)
enalapril maleate tab 20 mg (Vasotec)
enalapril maleate & hydrochlorothiazide tab 5-12.5 mg
enalapril maleate & hydrochlorothiazide tab 10-25 mg (Vaseretic)
eplerenone tab 25 mg (Inspra)
eplerenone tab 50 mg (Inspra)
felodipine tab er 24hr 2.5 mg
felodipine tab er 24hr 5 mg
felodipine tab er 24hr 10 mg
fosinopril sodium tab 10 mg
fosinopril sodium tab 20 mg
fosinopril sodium tab 40 mg
fosinopril sodium & hydrochlorothiazide tab 10-12.5 mg
fosinopril sodium & hydrochlorothiazide tab 20-12.5 mg
furosemide oral soln 10 mg/ml
furosemide tab 20 mg (Lasix)
furosemide tab 40 mg (Lasix)
furosemide tab 80 mg (Lasix)
guanfacine hcl tab 1 mg
guanfacine hcl tab 2 mg
hydralazine hcl tab 10 mg
hydralazine hcl tab 25 mg
hydralazine hcl tab 50 mg
hydralazine hcl tab 100 mg
hydrochlorothiazide cap 12.5 mg
hydrochlorothiazide tab 12.5 mg
hydrochlorothiazide tab 25 mg
hydrochlorothiazide tab 50 mg
indapamide tab 1.25 mg
indapamide tab 2.5 mg
irbesartan tab 75 mg (Avapro)
irbesartan tab 150 mg (Avapro)
irbesartan tab 300 mg (Avapro)
irbesartan-hydrochlorothiazide tab 150-12.5 mg (Avalide)
irbesartan-hydrochlorothiazide tab 300-12.5 mg (Avalide)
isosorbide dinitrate-hydralazine hcl tab 20-37.5 mg (Bidil)
isradipine cap 2.5 mg
isradipine cap 5 mg
labetalol hcl tab 100 mg
labetalol hcl tab 200 mg
labetalol hcl tab 300 mg
lisinopril & hydrochlorothiazide tab 10-12.5 mg (Zestoretic)
lisinopril & hydrochlorothiazide tab 20-12.5 mg (Zestoretic)
lisinopril & hydrochlorothiazide tab 20-25 mg (Zestoretic) 
lisinopril tab 2.5 mg (Zestril)
lisinopril tab 5 mg (Zestril)
lisinopril tab 10 mg (Zestril)
lisinopril tab 20 mg (Zestril)
lisinopril tab 30 mg (Zestril)
lisinopril tab 40 mg (Zestril)
losartan potassium & hydrochlorothiazide tab 50-12.5 mg (Hyzaar)
losartan potassium & hydrochlorothiazide tab 100-12.5 mg (Hyzaar)

HIGH BLOOD PRESSURE (CONTINUED)

losartan potassium & hydrochlorothiazide tab 100-25 mg (Hyzaar)
losartan potassium tab 25 mg (Cozaar)
losartan potassium tab 50 mg (Cozaar)
losartan potassium tab 100 mg (Cozaar)
metolazone tab 2.5 mg
metolazone tab 5 mg
metolazone tab 10 mg
metoprolol & hydrochlorothiazide tab 50-25 mg
metoprolol & hydrochlorothiazide tab 100-25 mg
metoprolol & hydrochlorothiazide tab 100-50 mg
metoprolol succinate tab er 24hr 25 mg (tartrate equiv) (Toprol xl)
metoprolol succinate tab er 24hr 50 mg (tartrate equiv) (Toprol xl)
metoprolol succinate tab er 24hr 100 mg (tartrate equiv) (Toprol xl)
metoprolol succinate tab er 24hr 200 mg (tartrate equiv) (Toprol xl)
metoprolol tartrate tab 25 mg
metoprolol tartrate tab 37.5 mg
metoprolol tartrate tab 50 mg (Lopressor)
metoprolol tartrate tab 75 mg
metoprolol tartrate tab 100 mg (Lopressor)
minoxidil tab 2.5 mg
minoxidil tab 10 mg
moexipril hcl tab 7.5 mg
moexipril hcl tab 15 mg
nadolol tab 20 mg (Corgard)
nadolol tab 40 mg (Corgard)
nadolol tab 80 mg
nebivolol hcl tab 2.5 mg (base equivalent) (Bystolic)
nebivolol hcl tab 5 mg (base equivalent) (Bystolic)
nebivolol hcl tab 10 mg (base equivalent) (Bystolic)
nebivolol hcl tab 20 mg (base equivalent) (Bystolic)
nicardipine hcl cap 20 mg
nicardipine hcl cap 30 mg
nifedipine cap 10 mg
nifedipine cap 20 mg
nifedipine tab er 24hr 30 mg
nifedipine tab er 24hr 60 mg
nifedipine tab er 24hr 90 mg 
nifedipine tab er 24hr osmotic release 30 mg (Procardia xl)
nifedipine tab er 24hr osmotic release 60 mg (Procardia xl)
nifedipine tab er 24hr osmotic release 90 mg (Procardia xl)
olmesartan medoxomil tab 5 mg (Benicar)
olmesartan medoxomil tab 20 mg (Benicar)
olmesartan medoxomil tab 40 mg (Benicar)
olmesartan medoxomil-hydrochlorothiazide tab 20-12.5 mg (Benicar hct) olmesartan medoxomil-hydrochlorothiazide tab 40-12.5 mg (Benicar hct) olmesartan medoxomil-hydrochlorothiazide tab 40-25 mg (Benicar hct) olmesartan-amlodipine-hydrochlorothiazide tab 20-5-12.5 mg (Tribenzor) olmesartan-amlodipine-hydrochlorothiazide tab 40-5-12.5 mg (Tribenzor) olmesartan-amlodipine-hydrochlorothiazide tab 40-5-25 mg (Tribenzor) olmesartan-amlodipine-hydrochlorothiazide tab 40-10-12.5 mg (Tribenzor) olmesartan-amlodipine-hydrochlorothiazide tab 40-10-25 mg (Tribenzor) perindopril erbumine tab 2 mg
perindopril erbumine tab 4 mg
phenoxybenzamine hcl cap 10 mg (Dibenzyline)
pindolol tab 5 mg
pindolol tab 10 mg
prazosin hcl cap 1 mg (Minipress)
prazosin hcl cap 2 mg (Minipress)
prazosin hcl cap 5 mg (Minipress)
propranolol hcl oral soln 20 mg/5ml
propranolol hcl tab 10 mg
propranolol hcl tab 20 mg
propranolol hcl tab 40 mg
propranolol hcl tab 60 mg
propranolol hcl tab 80 mg
propranolol hcl cap er 24hr 60 mg (Inderal la)
propranolol hcl cap er 24hr 80 mg (Inderal la)
propranolol hcl cap er 24hr 120 mg (Inderal la)
propranolol hcl cap er 24hr 160 mg (Inderal la)
quinapril hcl tab 5 mg (Accupril)
quinapril hcl tab 10 mg (Accupril)
quinapril hcl tab 20 mg (Accupril)
quinapril hcl tab 40 mg (Accupril)
ramipril cap 1.25 mg (Altace)
ramipril cap 2.5 mg (Altace)
ramipril cap 5 mg (Altace)
ramipril cap 10 mg (Altace)
spironolactone tab 25 mg (Aldactone)
spironolactone tab 50 mg (Aldactone)
spironolactone tab 100 mg (Aldactone)
spironolactone & hydrochlorothiazide tab 25-25
mg telmisartan tab 20 mg (Micardis)
telmisartan tab 40 mg (Micardis)
telmisartan tab 80 mg (Micardis)
terazosin hcl cap 1 mg (base equivalent)
terazosin hcl cap 2 mg (base equivalent)
terazosin hcl cap 5 mg (base equivalent)
terazosin hcl cap 10 mg (base equivalent)
timolol maleate tab 10 mg
torsemide tab 5 mg
torsemide tab 10 mg
torsemide tab 20 mg
torsemide tab 100 mg
trandolapril tab 1 mg

HIGH BLOOD PRESSURE (CONTINUED)

trandolapril tab 2 mg
trandolapril tab 4 mg
triamterene & hydrochlorothiazide cap 37.5-25 mg
triamterene & hydrochlorothiazide tab 37.5-25 mg (Maxzide-25)
triamterene & hydrochlorothiazide tab 75-50 mg (Maxzide)
triamterene cap 50 mg (Dyrenium)
triamterene cap 100 mg (Dyrenium)
valsartan tab 40 mg (Diovan)
valsartan tab 80 mg (Diovan)
valsartan tab 160 mg (Diovan)
valsartan tab 320 mg (Diovan)
valsartan-hydrochlorothiazide tab 80-12.5 mg (Diovan hct)
valsartan-hydrochlorothiazide tab 160-12.5 mg (Diovan hct)
valsartan-hydrochlorothiazide tab 160-25 mg (Diovan hct)
valsartan-hydrochlorothiazide tab 320-12.5 mg (Diovan hct)
valsartan-hydrochlorothiazide tab 320-25 mg (Diovan hct)
verapamil hcl cap er 24hr 120 mg (Verelan)
verapamil hcl cap er 24hr 180 mg (Verelan)
verapamil hcl cap er 24hr 240 mg (Verelan)
verapamil hcl tab er 120 mg
verapamil hcl tab er 180 mg
verapamil hcl tab er 240 mg
verapamil hcl tab 40 mg
verapamil hcl tab 80 mg
verapamil hcl tab 120 mg

HIGH CHOLESTEROL

atorvastatin calcium tab 10 mg (base equivalent) (Lipitor)
atorvastatin calcium tab 20 mg (base equivalent) (Lipitor)
atorvastatin calcium tab 40 mg (base equivalent) (Lipitor)
atorvastatin calcium tab 80 mg (base equivalent) (Lipitor)
cholestyramine light powder 4 gm/dose (Questran light) 
cholestyramine powder 4 gm/dose (Questran)
colesevelam hcl packet for susp 3.75 gm (Welchol)
colesevelam hcl tab 625 mg (Welchol)
colestipol hcl granules 5 gm (Colestid flavored)
colestipol hcl granule packets 5 gm (Colestid flavored)
colestipol hcl tab 1 gm (Colestid)
ezetimibe tab 10 mg (Zetia)
ezetimibe-simvastatin tab 10-10 mg (Vytorin)
ezetimibe-simvastatin tab 10-20 mg (Vytorin)
ezetimibe-simvastatin tab 10-40 mg (Vytorin)
ezetimibe-simvastatin tab 10-80 mg (Vytorin)
fenofibrate micronized cap 67 mg
fenofibrate micronized cap 134 mg
fenofibrate micronized cap 200 mg
fenofibrate tab 48 mg (Tricor)
fenofibrate tab 54 mg
fenofibrate tab 145 mg (Tricor)
fenofibrate tab 160 mg
gemfibrozil tab 600 mg (Lopid)
icosapent ethyl cap 0.5 gm (Vascepa)
lovastatin tab 10 mg
lovastatin tab 20 mg
lovastatin tab 40 mg
niacin tab er 500 mg (antihyperlipidemic)
niacin tab er 750 mg (antihyperlipidemic)
niacin tab er 1000 mg (antihyperlipidemic)
pravastatin sodium tab 10 mg
pravastatin sodium tab 20 mg
pravastatin sodium tab 40 mg
pravastatin sodium tab 80 mg
rosuvastatin calcium tab 5 mg (Crestor)
rosuvastatin calcium tab 10 mg (Crestor)
rosuvastatin calcium tab 20 mg (Crestor)
rosuvastatin calcium tab 40 mg (Crestor)
simvastatin tab 5 mg
simvastatin tab 10 mg (Zocor)
simvastatin tab 20 mg (Zocor)
simvastatin tab 40 mg (Zocor)
simvastatin tab 80 mg
VASCEPA – icosapent ethyl cap 0.5 gm
VASCEPA – icosapent ethyl cap 1 gm

OSTEOPOROSIS

alendronate sodium tab 10 mg
alendronate sodium tab 35 mg
alendronate sodium tab 70 mg (Fosamax)
calcitonin (salmon) nasal soln 200 unit/act
ibandronate sodium tab 150 mg (base equivalent)
raloxifene hcl tab 60 mg (Evista)
risedronate sodium tab 5 mg
risedronate sodium tab 30 mg
risedronate sodium tab 35 mg (Actonel)
risedronate sodium tab 150 mg (Actonel)
risedronate sodium tab delayed release 35 mg (Atelvia)

RESPIRATORY

Medications

acetylcysteine inhal soln 10%
acetylcysteine inhal soln 20%
ADVAIR HFA – fluticasone-salmeterol inhal aerosol 45-21 mcg/act
ADVAIR HFA – fluticasone-salmeterol inhal aerosol 115-21 mcg/act
ADVAIR HFA – fluticasone-salmeterol inhal aerosol 230-21 mcg/act

RESPIRATORY

Medications (continued)

albuterol sulfate inhal aero 108 mcg/act (90mcg base equiv) (Proventil hfa) albuterol sulfate soln nebu 0.083% (2.5 mg/3 ml)
albuterol sulfate soln nebu 0.63 mg/3 ml (base equiv)
albuterol sulfate soln nebu 1.25 mg/3 ml (base equiv)
albuterol sulfate syrup 2 mg/5 ml
albuterol sulfate tab 2 mg
albuterol sulfate tab 4 mg
ANORO ELLIPTA - umeclidinium-vilanterol aero powd ba 62.5-25 mcg/act arformoterol tartrate soln nebu 15 mcg/2 ml (base equiv) (Brovana)
ARNUITY ELLIPTA – fluticasone furoate aerosol powder breath activ 50 mcg/act ARNUITY ELLIPTA – fluticasone furoate aerosol powder breath activ 100 mcg/act
ARNUITY ELLIPTA – fluticasone furoate aerosol powder breath activ 200 mcg/act
ASMANEX HFA – mometasone furoate inhal aerosol suspension 50 mcg/act ASMANEX HFA – mometasone furoate inhal aerosol suspension 100 mcg/act ASMANEX HFA – mometasone furoate inhal aerosol suspension 200 mcg/act ASMANEX TWISTHALER 30 MET - mometasone furoate inhal powd 110 mcg/act (breath activated)
ASMANEX TWISTHALER 14 MET - mometasone furoate inhal powd 220 mcg/act (breath activated)
ASMANEX TWISTHALER 30 MET - mometasone furoate inhal powd 220 mcg/act (breath activated)
ASMANEX TWISTHALER 60 MET - mometasone furoate inhal powd 220 mcg/act (breath activated)
ASMANEX TWISTHALER 120 MET - mometasone furoate inhal powd 220 mcg/act (breath activated)
BREO ELLIPTA - fluticasone furoate-vilanterol aero powd ba 100-25 mcg/act BREO ELLIPTA - fluticasone furoate-vilanterol aero powd ba 200-25 mcg/act BREZTRI AEROSPHERE – budesonide-glycopyrrolate-formoterol aers 160-9-4.8 mcg/act 
budesonide inhalation susp 0.25 mg/2 ml (Pulmicort)
budesonide inhalation susp 0.5 mg/2 ml (Pulmicort)
budesonide inhalation susp 1 mg/2 ml (Pulmicort)
COMBIVENT RESPIMAT – ipratropium-albuterol inhal aerosol soln 20-100 mcg/act
cromolyn sodium soln nebu 20 mg/2 ml
DULERA – mometasone furoate-formoterol fumarate aerosol 50-5 mcg/act DULERA – mometasone furoate-formoterol fumarate aerosol 100-5 mcg/act DULERA – mometasone furoate-formoterol fumarate aerosol 200-5 mcg/act FLUTICASONE PROPIONATE/SALMETEROL – fluticasone-salmeterol aer powder ba 55-14 mcg/act FLUTICASONE PROPIONATE/SALMETEROL – fluticasone-salmeterol aer powder ba 113-14 mcg/act
FLUTICASONE PROPIONATE/SALMETEROL – fluticasone-salmeterol aer powder ba 232-14 mcg/act
fluticasone-salmeterol aer powder ba 100-50 mcg/dose (Advair diskus) fluticasone-salmeterol aer powder ba 250-50 mcg/dose (Advair diskus) fluticasone-salmeterol aer powder ba 500-50 mcg/dose (Advair diskus)
INCRUSE ELLIPTA – umeclidinium br aero powd breath act 62.5 mcg/act (base eq)
ipratropium bromide inhal soln 0.02%
ipratropium-albuterol nebu soln 0.5-2.5(3) mg/3 ml levalbuterol hcl soln nebu concentrate
1.25 mg/0.5 ml (base equiv) levalbuterol hcl soln nebu 0.31 mg/3 ml (base equiv)
levalbuterol hcl soln nebu 0.63 mg/3 ml (base equiv)
levalbuterol hcl soln nebu 1.25 mg/3 ml (base equiv)
montelukast sodium chew tab 4 mg (base equiv) (Singulair)
montelukast sodium chew tab 5 mg (base equiv) (Singulair)
montelukast sodium tab 10 mg (base equiv) (Singulair)
QVAR REDIHALER – beclomethasone diprop hfa breath act inh aer 40 mcg/act QVAR REDIHALER – beclomethasone diprop hfa breath act inh aer 80 mcg/act roflumilast tab 250 mcg (Daliresp)
roflumilast tab 500 mcg (Daliresp)
SEREVENT DISKUS - salmeterol xinafoate aer pow ba 50 mcg/act (base equiv) SPIRIVA HANDIHALER – tiotropium bromide monohydrate inhal cap 18 mcg (base equiv)
SPIRIVA RESPIMAT – tiotropium bromide monohydrate inhal aerosol 1.25 mcg/act
SPIRIVA RESPIMAT – tiotropium bromide monohydrate inhal aerosol 2.5 mcg/act
STIOLTO RESPIMAT – tiotropium br-olodaterol inhal aero soln 2.5-2.5 mcg/act STRIVERDI RESPIMAT – olodaterol hcl inhal aerosol soln 2.5 mcg/act (base equiv)
SYMBICORT – budesonide-formoterol fumarate dihyd aerosol 80-4.5 mcg/act SYMBICORT – budesonide-formoterol fumarate dihyd aerosol 160-4.5 mcg/act terbutaline sulfate tab 2.5 mg

RESPIRATORY

Medications (continued)

terbutaline sulfate tab 5 mg
theophylline elixir 80 mg/15 ml
theophylline soln 80 mg/15 ml
theophylline tab er 12hr 300 mg
theophylline tab er 12hr 450 mg
theophylline tab er 24hr 400 mg
theophylline tab er 24hr 600 mg
TRELEGY ELLIPTA - fluticasone-umeclidinium-vilanterol aepb 100-62.5-25 mcg/act
TRELEGY ELLIPTA - fluticasone-umeclidinium-vilanterol aepb 200-62.5-25 mcg/act
VENTOLIN HFA – albuterol sulfate inhal aero 108 mcg/act (90mcg base equiv) zafirlukast tab 10 mg (Accolate)
zafirlukast tab 20 mg (Accolate)

Generic Drugs = bold Brand Drugs = ALL CAPITAL LETTERS