PDF Cvs Caremark Maintenance Drug List

CVS CAREMARK? MAINTENANCE DRUG LIST

EFFECTIVE AS OF 06/05/2019

Maintenance drugs are prescriptions commonly used to treat conditions that are considered chronic or long-term. These conditions usually require regular, daily use of medicines. Examples of maintenance drugs are those used to treat high blood pressure, heart disease, asthma and diabetes.

Due to the large number of available medicines, this list is not all inclusive. Please note that this list does not guarantee coverage and is subject to change. Your prescription benefit plan may not cover certain products or categories, regardless of their appearance on this list. Where a generic is available, it is listed by the generic name. If no generic is available, then the brand name appears. This list represents brand products in CAPS and generic products in lower case italics.

If you have questions about your prescription benefits, please log on to your account at or call Customer Care at the number on your benefit ID card.

Attention

Deficit/Hyperactivity

Disorder (ADHD)

clonidine er guanfacine er STRATTERA

Allergies

desloratidine levocetirizine CLARINEX

Alzheimer's Disease

donepezil galantamine rivastigmine NAMENDA NAMZARIC

Antipsychotics

loxapine olanzapine paliperidone risperidone thiothixene ziprasidone ABILIFY EQUETRO LATUDA ORAP REXULTI SEROQUEL XR

-Combinations Olanzapine/fluoxetine

Blood Modifiers

anagrelide cilostazol clopidogrel dipyridamole pentoxifylline ticlopidine AGGRENOX BRILINTA

EFFIENT ZONTIVITY

Cancer

anastrozole exemestane letrozole tamoxifen FARESTON

Contraceptives/

Hormone Replacement

estradiol estradiol estropipate estradiol gel estradiol transdermal ethinyl estradiol-desogestrel ethinyl estradiol-drospirenone ethinyl estradiol-ethynodiol ethinyl estradiol-levonorgestrel ethinyl estradiol-norelgestromin ethinyl estradiol-norethindrone ethinyl estradiol-norgestimate ethinyl estradiol-norgestrel raloxifene BEYAZ CENESTIN CLIMARA PRO COMBIPATCH ENJUVIA ESTRING EVAMIST FALESSA FEMHRT IMVEXXY LO LOESTRIN MENEST NATAZIA NUVARING PREMARIN PREMPRO SAFYRAL

Depression

bupropion citalopram desvenlafaxine

duloxetine escitalopram fluoxetine fluvoxamine mirtazapine nefazodone paroxetine sertraline trazodone venlafaxine APLENZIN FETZIMA OLEPTRO TRINTELLIX VIIBRYD

Diabetes

acarbose chlorpropamide glimepiride glipizide glyburide metformin nateglinide pioglitazone repaglinidine tolazamide tolbutamide ADLYXIN AVANDIA BYDUREON BYETTA CYCLOSET FARXIGA GLYSET INSULIN INVOKANA JANUVIA JARDIANCE NESINA ONGLYZA SYMLIN SYNJARDY IR/XR TANZEUM TRADJENTA TRULICITY VICTOZA

This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of

pharmaceutical manufacturers not affiliated with CVS Caremark.

?2019 CVS Caremark. All rights reserved. 106-18393A 061819

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-Combinations glipizide/metformin glyburide/metformin pioglitazone/glimepiride pioglitazone/metformin AVANDAMET AVANDARYL GLYXAMBI INVOKAMET IR/ XR JANUMET JENTADUETO IR/ XR JUVISYNC KAZANO KOMBIGLYZE XR OSENI PRANDIMET SOLIQUA XIGDUO XR XULTOPHY

-Test Strips/Lancets/Meters glucose meter glucose test strip insulin pump insulin syringes and needles ALBUSTIX CHEMSTRIPS NOVA MAX PLUS KETONE

Digestive Enzymes

pancrelipase CREON PANCREAZE ZENPEP

Diuretics

acetazolamide amiloride chlorthalidone dyrenium hydrochlorothiazide (hctz) methazolamide spironolactone

-Combinations hctz/spironolactone hctz/triamterene

Enlarged Prostate

alfuzosin finasteride tamsulosin terazosin AVODART CARDURA XL JALYN RAPAFLO

Glaucoma

Betaxolol bimatoprost brimonidine carbachol carteolol dorzolamide latanoprost levobunolol methazolamide

metipranolol phospholine timolol AZOPT LUMIGAN RESCULA TRAVATAN ZIOPTAN

-Combinations dorzolamide/timolol COMBIGAN SIMBRINZA

Gout

allopurinol probenecid/colchicine ZURAMPIC

Heart Disease & High

Blood Pressure -Angiotensin-Converting-Enzyme (ACE) Inhibitors

benazepril captopril enalapril fosinopril lisinopril moexipril perindopril quinapril ramipril trandolapril

-Angiotensin II Receptor Antagonists candesartan eprosartan irbesartan losartan telmisartan valsartan EDARBI TEVETEN

-Antiarrhythmics amiodarone disopyramide flecainide mexiletine propafenone quinidine gluconate quinidine sulfate MULTAQ

-Beta Blockers acebutolol atenolol betaxolol bisoprolol carvedilol labetalol levatol metoprolol nadolol pindolol propranolol sotalol

timolol BYSTOLIC

-Calcium Channel Blockers amlodipine diltiazem felodipine isradipine nicardipine nifedipine nisoldipine verapamil

-Combinations amlodipine/atorvastatin amlodipine/hctz amlodipine/valsartan amlodipine/valsartan/hctz atenolol/chlorthalidone benazepril/hctz bisoprolol/hctz candesartan/hctz clonidine/chlorthalidone captopril/hctz enalapril/hctz fosinopril/hctz irbesartan/hctz lisinopril/hctz losartan/hctz methyldopa/hctz metoprolol/hctz moexipril/hctz nadolol/bendroflumethiazide propranolol/hctz quinapril/hctz telmisartan/amlodipine telmisartan/hctz trandolapril/verapamil valsartan/hctz AMTURNIDE AZOR BENICAR HCT BYVALSON EDARBYCLOR ENTRESTO PRESTALIA TEKAMLO TEKTURNA HCT TEVETEN HCT TRIBENZOR

-Miscellaneous Cardiovascular clonidine guanfacine hydralazine isoxsuprine methyldopa minoxidil prazosin reserpine BIDIL CORLANOR RANEXA TEKTURNA

High Cholesterol

atorvastatin cholestyramine colestipol fenofibrate micronized

This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of

pharmaceutical manufacturers not affiliated with CVS Caremark.

?2019 CVS Caremark. All rights reserved. 106-18393A 061819

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fluvastatin gemfibrozil lovastatin omega-3-acid ethyl ester niacin cr pravastatin rosuvastatin simvastatin LIPTRUZET LIVALO SIMCOR VASCEPA VYTORIN WELCHOL ZETIA

Immune Disorders

azathioprine

Inflammatory Bowel

Disease

sulfasalazine DIPENTUM

Gastrointestinal Agents

AMITIZA LINZESS TRULANCE

Kidney Disease

calcitriol calcium acetate AURYXIA FOSRENOL RENAGEL RENVELA VELPHORO

Miscellaneous

cevimeline ergoloid mesylate pilocarpine ursodiol BRISDELLE CUVPOSA DUAVEE NASCOBAL NUEDEXTA SAVELLA XIIDRA

Osteoporosis

alendronate calcitonin ibandronate risedronate ACTONEL Plus Calc BINOSTO FOSAMAX D

Overactive Bladder

darifenacin flavoxate oxybutynin Oxytrol tolterodine

trospium MYRBETRIQ TOVIAZ VESICARE

Parkinson's Disease

benztropine bromocriptine carbidopa carbidopa/levodopa carbidopa/levodopa/entacapone entacapone pramipexole ropinirole tolcapone trihexyphenidyl NEUPRO RYTARY XADAGO

Respiratory Agents

aminophylline budesonide cromolyn dyphylline fluticasone/salmeterol (Airduo) formoterol ipratropium ipratropium/albuterol metaproterenol montelukast terbutaline theophylline zafirlukast ADVAIR AEROSPAN ALVESCO ANORO ELLIPTA ARCAPTA ARNUITY ELLIPTA ASMANEX BEVESPI BREO ELLIPTA BROVANA DALIRESP 500 mg DULERA FLOVENT INCRUSE ELLIPTA QVAR SEEBRI SEREVENT SPIRIVA STIOLTO RESPIMAT STRIVERDI SYMBICORT TUDORZA UTIBRON ZYFLO

Rheumatoid Arthritis

leflunomide RHEUMATREX RIDAURA

Seizure Disorders

carbamazepine divalproex ethosuximide

felbamate lamotrigine levetiracetam oxcarbazepine primidone tiagabine topiramate topiramate er valproic acid zonisamide APTIOM CELONTIN PEGANONE TROKENDI XR

Thyroid

levothyroxine liothyronine thyroid THYROLAR

Ulcer/Gastroesophageal

Reflux Disease (GERD)

Cimetidine esomeprazole magnesium famotidine tab lansoprazole nizatidine omeprazole omeprazole/sodium bicarbonate pantoprazole rabeprazole ranitidine sucralfate ACIPHEX SPRINKLE DEXILANT ESOMEPRAZOLE STRONTIUM

This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of

pharmaceutical manufacturers not affiliated with CVS Caremark.

?2019 CVS Caremark. All rights reserved. 106-18393A 061819

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