Cigna No Cost Share Preventive Drug List Flyer

PPACA No Cost-Share Preventive Medications This is a list of the preventive prescription medications and the over-the-counter (OTC) products available to you at no cost-share under PPACA. For your plan to cover these medications at 100%, you’ll need to get a prescription from your doctor - even for the OTC products which are typically available without a prescription . This drug list is updated as the U.S. Preventive Services Task Force makes new recommendations.

Aspirin Products adult aspirin regimen aspirin 81mg, 325mg aspirin ec 81mg, 325mg aspir-trin BAYER CHEWABLE ASPIRIN children’s aspirin ecotrin 81mg ECOTRIN 325MG low dose aspirin ec st. joseph aspirin st. joseph aspirin ec Barrier Contraception CAYA CONTOURED CONCEPTROL FC2 FEMALE CONDOM FEMCAP gynol ii MALE CONDOM 4 TODAY CONTRACEPTIVE SPONGE VCF FILM, GEL vcf foam WIDE SEAL DIAPHRAGM Bowel Prep Products for Colorectal Cancer Screenings Available to adults 45-75 years of age alophen pills bisacodyl tablets bisa-lax clearlax CLENPIQ CORRECTOL DULCOLAX EC 5 MG TABLET gavilax powder

Folic Acid Supplementation (Only for products containing 0.4 mg–0.8 mg of folic acid) Available to adults 50 years of age and younger ALIVE PRENATAL BRAINSTRONG PRENATAL classic prenatal EXPECTA PRENATAL FA-8 folic acid 0.4mg, 0.8mg kpn MINI PRENATAL ONE A DAY WOMEN’S PRENATAL DHA one daily prenatal dha pack ONE DAILY PRENATAL COMBO PAK ONE-A-DAY PRENATAL-1

natura-lax NULYTELY SOLUTION peg 3350-electrolyte peg3350-sodium sulfate-sodium chloride-potassium chloride- sodium ascorbate-ascorbic acid peg-prep polyethylene glycol 3350 powderlax purelax smoothlax SODIUM-POTASSIUM-MAGNESIUM SULFATE SUPREP SUTAB women’s gentle laxative women’s laxative Breast Cancer Prevention 5

anastrozole exemestane

perry prenatal prenatal tablet prenatal complete PRENATAL FORMULA-DHA PRENATAL GUMMIES

raloxifene tamoxifen Cholesterol Related Available to adults 40-75 years of age atorvastatin 10mg, 20mg fluvastatin fluvastatin er lovastatin 20mg, 40mg pravastatin rosuvastatin 5mg, 10mg simvastatin 10mg, 20mg, 40mg Emergency Contraception

PRENATAL MULTI prenatal multi-dha prenatal multivitamin PRENATAL MULTIVITAMIN-DHA prenatal one daily PRENATAL PLUS-DHA prenatal vitamin PRENATAL VITAMIN + DHA SIMILAC PRENATAL STUART ONE ULTRA PRENATAL PLUS DHA Hormonal Contraception 6,7

after pill AFTERA econtra ez econtra one-step ELLA levonorgestrel my choice my way new day opcicon one-step option 2 TAKE ACTION

afirmelle altavera alyacen amethia amethyst apri aranelle ashlyna aubra aubra eq

gavilyte-c gavilyte-g gavilyte-n gentle laxative tablet gentlelax GIALAX healthylax laxaclear laxative 5mg laxative peg 3350 MIRALAX POWDER

Generic medications are listed in all lowercase letters and brand-name medications are listed in all capital letters. 2

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