High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventive Therapy Drug List (07/01/13) ANTICONVULSANTS CARDIOVASCULAR CONDITIONS - ANTIARRHYTHMIC AGENTS ORAL ANTIANGINAL AGENTS COMBINATION ANTIHYPERLIPIDEMICS SL and chewable formulations are not includedTRANSDERMAL/TOPICAL ANTIANGINAL DIABETES DIAGNOSTIC AGENTS AND SUPPLIES CORONARY ARTERY DISEASE ANTIHYPERLIPIDEMICS INJECTABLE DIABETES AGENTS Some strengths or dosage forms may not be included in the HDHP - HSA Preventive Therapy Drug List.Certain products or categories may not be covered, regardless of their appearance in this document. Please check with your plan provider.Please note: This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. This HDHP - HSA Preventive Therapy Drug List is provided as a courtesy and CVS Caremark makes no representations regarding the suitability for your particular plan. The HDHP - HSA Preventive Therapy Drug List should be modified as necessary or desired by the plan sponsor with the advice of counsel, if appropriate. 106-1038894b 062413
Over-the-Counter (OTC) products require a prescription. ORAL DIABETES AGENTS ACE INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS HYPERTENSION ACE INHIBITORS/ANGIOTENSIN II RECEPTOR ANTAGONISTS BETA-BLOCKERS CALCIUM CHANNEL BLOCKERS HEMATOLOGIC AGENTS Some strengths or dosage forms may not be included in the HDHP - HSA Preventive Therapy Drug List.Certain products or categories may not be covered, regardless of their appearance in this document. Please check with your plan provider.Please note: This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. This HDHP - HSA Preventive Therapy Drug List is provided as a courtesy and CVS Caremark makes no representations regarding the suitability for your particular plan. The HDHP - HSA Preventive Therapy Drug List should be modified as necessary or desired by the plan sponsor with the advice of counsel, if appropriate. 106-1038894b 062413
IMMUNIZING AGENTS DIURETICS spironolactone/hydrochlorothiazideOTHER ANTIHYPERTENSIVE AGENTS ANTIPSYCHOTICS MENTAL HEALTH ANTIDEPRESSANTS olanzapine orally disintegrating tabsSome strengths or dosage forms may not be included in the HDHP - HSA Preventive Therapy Drug List.Certain products or categories may not be covered, regardless of their appearance in this document. Please check with your plan provider.Please note: This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. This HDHP - HSA Preventive Therapy Drug List is provided as a courtesy and CVS Caremark makes no representations regarding the suitability for your particular plan. The HDHP - HSA Preventive Therapy Drug List should be modified as necessary or desired by the plan sponsor with the advice of counsel, if appropriate. 106-1038894b 062413
VARIOUS CONDITIONS ANTI-MALARIAL AGENTS Over-the-Counter (OTC) products require a prescription. DENTAL CARIES PREVENTION RESPIRATORY DISORDERS HEREDITARY ANGIOEDEMA AGENTS OSTEOPOROSIS IMMUNOSUPPRESSIVE AGENTS MULTIPLE SCLEROSIS AGENTS ANTICOAGULANTS PREVENTIVE CARE SERVICES AGENTS FOR CHEMICAL DEPENDENCY ANTICOAGULANTS/PLATELET AGGREGATION INHIBITORS WOMEN'S HEALTH ANTIESTROGENS ANTI-OBESITY AGENTS AROMATASE INHIBITORS CONTRACEPTIVES SMOKING DETERRENTS LOW-DOSE MONOPHASIC PILLS Some strengths or dosage forms may not be included in the HDHP - HSA Preventive Therapy Drug List.Certain products or categories may not be covered, regardless of their appearance in this document. Please check with your plan provider.Please note: This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. This HDHP - HSA Preventive Therapy Drug List is provided as a courtesy and CVS Caremark makes no representations regarding the suitability for your particular plan. The HDHP - HSA Preventive Therapy Drug List should be modified as necessary or desired by the plan sponsor with the advice of counsel, if appropriate. 106-1038894b 062413
EMERGENCY CONTRACEPTION levonorgestrel/EE 0.1/20 and EE 10levonorgestrel - Next Choice One Dosenorethindrone acetate/EE 1/20 and ironnorethindrone acetate/EE 1.5/30 and norgestimate/EE 0.18-35/0.215-35/ TRANSDERMAL PATCH MISCELLANEOUS CONTRACEPTIVES FOUR-PHASIC EXTENDED-CYCLE PILLS HIGH-DOSE MONOPHASIC PILLS levonorgestrel/EE 0.15/30 and EE 10BIPHASIC PILLS PRENATAL VITAMINS TRIPHASIC PILLS CONTINUOUS-CYCLE PILLS PROGESTIN-ONLY PILLS Some strengths or dosage forms may not be included in the HDHP - HSA Preventive Therapy Drug List.Certain products or categories may not be covered, regardless of their appearance in this document. Please check with your plan provider.Please note: This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. This HDHP - HSA Preventive Therapy Drug List is provided as a courtesy and CVS Caremark makes no representations regarding the suitability for your particular plan. The HDHP - HSA Preventive Therapy Drug List should be modified as necessary or desired by the plan sponsor with the advice of counsel, if appropriate. 106-1038894b 062413
The dobutamine stress echo test involves the injection of a medication called dobutamine while you are closely monitored. The medication stimulates your heart in a similar way as exercise. Why is this test performed? The test is used to evaluate your heart and valve function when you are unable to exercise on a treadmill or Determine how well your heart tolerates activity Det
Bey-OTC-copy_Layout 1 11-03-24 2:12 PM Page 1 BEYOND THEBASICS Over-the-counter Drugs What are over-the-counter drugs? BEYOND BASICS BEYOND BASIC Over-the-counter drugs are medications sold directly to consumers through pharmacies, grocery andconvenience stores without a prescription. The availability of remedies is as ubiquitous as the conditions OVER-THE-COUNTER for which