Express Scripts No Cost Share Preventive Drug List HDHP

2025 CDH Preventive Medications - Standard Plus

VACCINATION* Anthrax, BCG, Chikungunya, Cholera, COVID-19, Diphtheria, Haemophilus Influenza B, Hepatitis A and B, Human Papillomavirus, Influenza, Japanese Encephalitis, Measles, Meningococcal, Monkey/smallpox, Mumps, Pertussis, Pneumococcal, Poliovirus, Rabies, Respiratory syncytial virus, Rotavirus, Rubella,

Shingles, Tetanus, Tick-borne encephalitis, Typhoid, Varicella, Yellow Fever, Zoster VITAMINS OR MINERALS Folic acid* Prenatal vitamins Pediatric multivitamins with fluoride*

*Please note that some of these medications are also subject to the Affordable Care Act (ACA) and may be covered by your plan at 100%.

Express Scripts manages your prescription benefit for your employer, plan sponsor, or health plan. For specific questions on coverage, please call the phone number on your member ID card or visit our website express-scripts.com. © 2025 Express Scripts. All Rights Reserved. Express Scripts and the ā€œEā€ Logo are trademarks of Express Scripts Strategic Development, Inc. All other trademarks are the property of their respective owners.

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