Preventive medications list In a high-deductible health plan like Boeing’s Advantage + health plan, federal rules permit certain preventive drugs to b...
Preventive medications list In a high-deductible health plan like Boeing’s Advantage + health plan, federal rules permit certain preventive drugs to be paid without being subject to the plan’s deductible. For drugs on the preventive drug list, you pay only the generic, brand formulary, or brand non-formulary coinsurance percentage described in your plan summary. This list is periodically reviewed and updated to ensure that the drugs listed meet the criteria for inclusion. Because this list is subject to change, please log in to www.medco.com/boeing to check the status of the medications you take. Medications must be covered by your plan to be eligible for the preventive medication program.
PDL6898B
The following section lists generic and brand formulary drugs.
A acarbose ACCU-CHEK strips and meters acebutolol hcl acetazolamide ACTONEL ACTONEL WITH CALCIUM ACTOPLUS MET XR ADVAIR DISKUS ADVAIR HFA afeditab CR AGGRENOX albuterol albuterol sulfate alendronate ALTOPREV ALVESCO amiloride hcl amiloride hcl-hctz aminophylline amlodipine besylate amlodipine besylate-benazepril AMTURNIDE anagrelide anastrozole ANTARA APIDRA APIDRA SOLOSTAR ASCENSIA/GLUCOMETER strips and meters ASMANEX ATACAND ATACAND HCT atenolol
Some brand drugs may change to non-formulary status during the year.
The following section lists non-formulary brand drugs.
T (continued) TOPROL XL TRANDATE TRIGLIDE TRUETRACK strips and meters
U UNIPHYL UNIRETIC UNIVASC
V VASERETIC VASOTEC VERELAN VERELAN PM VERELAN SR VOSPIRE ER
X XOLAIR XOPENEX XOPENEX HFA
Z ZAROXOLYN ZEBETA ZESTORETIC ZESTRIL ZIAC ZOCOR ZOMETA ZYBAN ZYFLO ZYFLO CR Some brand drugs may change to non-formulary status during the year.
Notes
Express Scripts manages your prescription benefit for your employer, plan sponsor, or health plan. Medco is now a part of the Express Scripts family of pharmacies. All rights in the product names of all third-party products appearing here, whether or not appearing with the trademark symbol, belong exclusively to their respective owners. PDL6898B 10.12