aripiprazole ARISTADA, ARISTADA INITIO ARMOUR THYROID ASMANEX HFA ASMANEX TWISTHALER atenolol
CAMZYOS* CARBAGLU* carbidopa/levodopa carvedilol cefdinir cefuroxime axetil celecoxib cephalexin CEQUR SIMPLICITY
KEY * Specialty Medication Brand-name medications are listed in CAPITAL letters Generic medications are listed in lower case letters
atomoxetine atorvastatin AUGTYRO* AUVI-Q
CERDELGA* CEREZYME* CETROTIDE* chlorhexidine gluconate chlorthalidone CIBINQO* ciclopirox 8% topical solution CIMDUO* CIMERLI* CINRYZE* ciprofloxacin ciprofloxacin/dexamethasone otic citalopram
AVONEX* AVSOLA* AVTOZMA IV* AZASITE azathioprine* azelaic acid azelastine nasal azithromycin AZSTARYS
A ABILIFY ASIMTUFII ABILIFY MAINTENA ACCU-CHEK: FASTCLIX, SOFTCLIX LANCETS acetaminophen/codeine acyclovir
ADALIMUMAB-ADAZ* ADALIMUMAB-ADBM (by Boehringer Ingelheim & Quallent)* ADBRY* ADEMPAS* ADVAIR HFA ADVATE* ADYNOVATE* AFSTYLA* AIMOVIG AIRSUPRA AJOVY albuterol nebulization solution albuterol sulfate hfa (all manufacturers covered except Prasco)
B baclofen BAFIERTAM* BAQSIMI BARACLUDE SOLUTION
clarithromycin clindamycin hcl clindamycin phosphate topical clindamycin phosphate/benzoyl peroxide clobetasol propionate 0.05% topical clomiphene citrate clonazepam clonidine hcl tablets (except 0.05mg) clopidogrel clotrimazole/betamethasone dipropionate codeine/guaifenesin colchicine COMBIPATCH COMBIVENT RESPIMAT COSENTYX SC* COTELLIC* CREON
BAXDELA BELBUCA benazepril BENEFIX* benzonatate betamethasone dipropionate BETASERON* BIKTARVY* BILDYOS* BILPREVDA* bisoprolol 5mg, 10mg bisoprolol/hctz BOSULIF CAPSULES* BRAFTOVI* BREO ELLIPTA BREZTRI AEROSPHERE brimonidine drops BRINSUPRI* BRIXADI* brompheniramine/pseudoephedrine/ dextromethorphan budesonide nebulization suspension budesonide/formoterol inhaler buprenorphine/naloxone bupropion bupropion er 150mg, 300mg buspirone 5mg, 7.5mg, 10mg, 15mg, 30mg butalbital/acetaminophen/caffeine
ALECENSA* alendronate alfuzosin er ALHEMO* allopurinol alprazolam ALPROLIX* ALTUVIIIO* ALUNBRIG* ALYFTREK* amiodarone amitriptyline amlodipine
CRINONE 8%* cyanocobalamin cyclobenzaprine cyclosporine drops cyproheptadine
D DANZITEN* dapagliflozin dapagliflozin/metformin er dasatinib* deferiprone* DELSTRIGO* DESCOVY* desloratadine tablets desonide desvenlafaxine succinate er dexamethasone
amlodipine/benazepril amlodipine/olmesartan amlodipine/valsartan amoxicillin amoxicillin/clavulanate anastrozole ANDEMBRY* ANORO ELLIPTA
C CABENUVA* CABOMETYX* CALQUENCE*
ANZUPGO* APRETUDE* ARALAST NP* ARIKAYCE*
© 2026 Evernorth Health Services. All rights reserved. All trademarks are the property of their respective owners. CRP1678902 #1702 NP (08/01/2026)
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