mbraun benefits summary-Updated 8-19

Blood Thinner Related aspirin-dipyridamole ER Brilinta cilostazol clopidogrel dipyridamole tablet Eliquis

Diabetes Related Log in to the mycigna app or website, or check your plan

pioglitazone pioglitazone-glimepiride pioglitazone-metformin repaglinide Rybelsus Segluromet Soliqua Steglatro SymlinPen Synjardy Synjardy XR Tresiba Tresiba FlexTouch Trijardy XR Trulicity Victoza Xigduo XR Xultophy Osteoporosis Related alendronate calcitonin-salmon Forteo ibandronate tablet raloxifene risedronate risedronate DR Tymlos Prenatal Vitamins

materials, to learn more about how your plan covers diabetes-related preventive medications. acarbose Basaglar Bydureon Byetta Diabetic Supplies (i.e. lancets, syringes, urine test, alcohol pads) Farxiga glimepiride glipizide

Jantoven prasugrel warfarin Xarelto

Cholesterol Related amlodipine-atorvastatin atorvastatin cholestyramine cholestyramine light colesevelam colestipol ezetimibe ezetimibe-simvastatin fenofibrate fenofibric acid fluvastatin fluvastatin ER gemfibrozil lovastatin niacin 500mg tablet niacin ER tablet Niacor omega-3 acid ethyl esters pravastatin Prevalite

glipizide ER glipizide XL glipizide-metformin glyburide glyburide micronized glyburide-metformin

Glyxambi Humalog Humulin Insulin Lispro Janumet Janumet XR Januvia Jardiance Levemir metformin metformin ER 500mg, 750mg tablet miglitol nateglinide Ozempic

Your plan considers all prescription strength prenatal vitamins to be “preventive.” Log in to the myCigna App or website to see which tier your plan covers prenatal vitamins on.

rosuvastatin simvastatin Vascepa

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.

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