Tradjenta Trijardy XR Trulicity Xigduo XR
Cartia XT carvedilol carvedilol ER chlorothiazide chlorthalidone
irbesartan irbesartan/ hydrochlorothiazide Isradipine isosorbide dinitrate isosorbide mononitrate Katerzia suspension labetalol lisinopril lisinopril/ hydrochlorothiazide losartan losartan/ hydrochlorothiazide Matzim LA methazolamide methyldopa methyldopa/ hydrochlorothiazide metolazone metoprolol succinate metoprolol tartrate metoprolol/ hydrochlorothiazide midodrine
Nitro-Dur nitroglycerin (patch) Nymalize olmesartan/amlodipine/ hydrochlorothiazide olmesartan/HCTZ pentoxifylline perindopril phenoxybenzamine HCL
Cardiovascular agents for HEART DISEASE/ HYPERTENSION
clonidine Corlanor
Digitek Digoxin diltiazem diltiazem 24hr ER diltiazem CD diltiazem SR Diuril doxazosin mesylate droxidopa Edarbi enalapril enalapril/ hydrochlorothiazide Entresto eplerenone eprosartan ethacrynic acid felodipine ER fosinopril fosinopril/ hydrochlorothiazide furosemide guanfacine HCL nebivolol hydralazine hydrochlorothiazide indapamide
acebutolol acetazolamide acetazolamide capsule ER Aliskiren amiloride/ hydrochlorothiazide amlodipine amlodipine/atorvastatin amlodipine/benazepril amlodipine/olmesartan amlodipine/valsartan amlodipine/valsartan/hctz atenolol atenolol/chlorthalidone
pindolol prazosin
propranolol propranolol/ hydrochlorothiazide propranolol ER quinapril quinapril/ hydrochlorothiazide ramipril ranolazine
Sorine Sotalol Sotalol AF
benazepril benazepril/ hydrochlorothiazide betaxolol, oral bisoprolol fumarate bisoprolol/ hydrochlorothiazide
spironolactone spironolactone/ hydrochlorothiazide Taztia XT Tekturna HCT telmisartan/amlodipine telmisartan + HCTZ terazosin
minoxidil moexipril nadolol nicardipine nifedipine nifedipine ER nimodipine nisoldipine nisoldipine ER Nitro-BID
bumetanide candesartan candesartan/
Tiadylt timolol
hydrochlorothiazide captoprilcaptopril/ hydrochlorothiazide Cardura XL
torsemide trandolapril
* Note: Diabetic supplies (i.e., blood glucose meters, test strips, lancets, syringes) are covered under Preventive Drug Benefit with prescription. This Preventive Drug List is not all-inclusive and is subject to change to comply with IRS guidance and as formulary updates are made. For the current Harvard Pilgrim Health Care formulary please see harvardpilgrim.org/rx . Flyer Last Updated October 8, 2024; effective 1/1/25.
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