Preventive Generics and Preferred Brands Drug List
Anxiety/Depression/ Bipolar Disorder citalopram escitalopram fluoxetine fluoxetine DR fluvoxamine fluvoxamine ER paroxetine paroxetine CR paroxetine ER sertraline Asthma Related albuterol albuterol HFA Anoro Ellipta Atrovent HFA budesonide suspension caffeine citrate oral solution cromolyn nebulizer solution Dulera Flovent Diskus Flovent HFA fluticasone-salmeterol Incruse Ellipta ipratropium solution ipratropium-albuterol levalbuterol levalbuterol concentrate
methazolamide methyldopa methyldopa-HCTZ metolazone metoprolol tablet metoprolol ER metoprolol-HCTZ minoxidil tablet moexipril nadolol nicardipine capsule nifedipine nifedipine ER
amiloride amiloride-HCTZ amlodipine
amlodipine-benazepril amlodipine-olmesartan amlodipine-valsartan amlodipine-valsartan-HCTZ atenolol atenolol-chlorthalidone benazepril
benazepril-HCTZ betaxolol tablet bisoprolol bisoprolol-HCTZ bumetanide tablet candesartan candesartan-HCTZ captopril captopril-HCTZ
nimodipine nisoldipine olmesartan olmesartan-amlodipine-HCTZ olmesartan-HCTZ perindopril phenoxybenzamine pindolol prazosin propranolol tablet, solution propranolol ER propranolol-HCTZ quinapril quinapril-HCTZ ramipril Sorine sotalol tablet sotalol AF spironolactone spironolactone-HCTZ Taztia XT telmisartan telmisartan-amlodipine telmisartan-HCTZ terazosin Tiadylt ER timolol tablet torsemide trandolapril trandolapril-verapamil ER triamterene-HCTZ valsartan valsartan-HCTZ Vecamyl verapamil capsule, tablet verapamil ER verapamil ER PM verapamil SR
Cartia XT carvedilol
carvedilol ER chlorthalidone clonidine patch, tablet
diltiazem tablet diltiazem 12hr ER diltiazem 24hr ER
diltiazem 24hr ER (CD) diltiazem 24hr ER (LA) diltiazem 24hr ER (XR) Dilt-XR doxazosin enalapril enalapril-HCTZ eplerenone felodipine ER fosinopril fosinopril-HCTZ furosemide solution, tablet guanfacine hydralazine tablet hydrochlorothiazide indapamide irbesartan irbesartan-HCTZ isradipine labetalol tablet lisinopril lisinopril-HCTZ losartan losartan-HCTZ Matzim LA
levalbuterol HFA metaproterenol montelukast
QVAR RediHaler Serevent Diskus Symbicort terbutaline tablet theophylline theophylline anhydrous Wixela Inhub Xolair
zafirlukast zileuton ER Blood Pressure Related acebutolol acetazolamide tablet acetazolamide ER aliskiren
Brand name medications are capitalized and generic medications are lowercase. Not all plans consider all of the conditions and medications listed in this document to be part of preventive coverage . Log in to the myCigna App, or check your plan materials, to see which medications your plan covers as preventive. 11
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