2026 ESI No Cost Share Preventive Drug List HDHP

2026 CDH Preventive Medications - Standard Plus

HIGH BLOOD PRESSURE (HBP)

BETA BLOCKERS acebutolol

DIURETICS chlorthalidone DIURIL suspension hydrochlorothiazide

ACE INHIBITORS ACCUPRIL (quinapril) ALTACE (ramipril) captopril fosinopril LOTENSIN (benazepril) moexipril

betaxolol bisoprolol LOPRESSOR (metoprolol tartrate) metoprolol succinate ER nadolol nebivolol pindolol propranolol propranolol ER TENORMIN (atenolol) timolol BETA BLOCKER/ DIURETIC

indapamide metolazone OTHER HBP & COMBINATIONS amlodipine/benazepril amlodipine/olmesartan amlodipine/olmesartan/HCTZ amlodipine/valsartan amlodipine/valsartan/HCTZ Blood pressure monitors CADUET (amlodipine/atorvastatin) PRESTALIA trandolapril/verapamil ER MALARIA ARAKODA

perindopril trandolapril VASOTEC (enalapril) ZESTRIL (lisinopril) ACE INHIBITORS/DIURETIC COMBINATIONS ACCURETIC (quinapril/HCTZ)

COMBINATIONS bisoprolol/HCTZ metoprolol/HCTZ propranolol/HCTZ TENORETIC (atenolol/chlorthalidone) CALCIUM CHANNEL BLOCKERS amlodipine CARDIZEM (diltiazem) CARDIZEM CD (cartia XT, diltiazem CD) CARDIZEM LA (diltiazem ER, matzim LA) felodipine ER isradipine nicardipine nifedipine PROCARDIA XL (nifedipine ER) SULAR ER (nisoldipine ER) TIAZAC ER (diltiazem ER, tiadylt ER) verapamil verapamil ER verapamil ER PM verapamil SR

captopril/HCTZ fosinopril/HCTZ LOTENSIN HCT (benazepril/HCTZ)

chloroquine mefloquine MALARONE (atovaquone/proguanil) primaquine MIGRAINE PREVENTION AIMOVIG AJOVY EMGALITY 120mg QULIPTA MISC ANTIVIRALS

VASERETIC (enalapril/HCTZ) ZESTORETIC (lisinopril/HCTZ) ANGIOTENSIN II RECEPTOR ANTAGONISTS candesartan

eprosartan irbesartan losartan

olmesartan telmisartan valsartan ANGIOTENSIN II RECEPTOR ANTAGONISTS/DIURETIC COMBINATIONS candesartan/HCTZ irbesartan/HCTZ losartan/HCTZ

APRETUDE* BEYFORTUS DESCOVY*

emtricitabine/ tenofovir disoproxil fumarate (TDF) 200mg/300mg* ENFLONSIA PREVYMIS SYNAGIS YEZTUGO

olmesartan/HCTZ telmisartan/HCTZ valsartan/HCTZ

DL_0017456B 303862

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