Expanded Preventive Drug List - Woodgrain

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navitus.comShare a Clear ViewExpanded Preventive Drug ListUpdated January 2019Your employer is making an effort to reduce your health care costs by giving you toolsto help you stay healthy and productive. Below are the medications your employer haschosen to be included on your Preventive Drug List. These medications help protectagainst or manage some high risk medical conditions. Taking these medications asdirected by your prescriber can help avoid serious health problems. That may meanfewer doctor visits and hospitalizations, reducing your total health care costs.In the drug list below, generic drugs are shown in lowercase type. Brand name drugs areshown in uppercase type.ANTIANGINAL AGENTSDILATRATE SR CAPISOSORBIDE DINITRATE ER TABisosorbide dinitrate SL tabisosorbide dinitrate tabISOSORBIDE DINITRATE TAB 30MG,40MGisosorbide mononitrate ER tabisosorbide mononitrate tabNITRO-BID OINTNITRO-DUR PATCH 0.3MG/HR, 0.8MG/HRnitroglycerin lingual spraynitroglycerin patchnitroglycerin SL tabnitroglycerin SR capNITROMIST SPRAYRANEXA TABANTIARRHYTHMICSamiodarone tabdisopyramide cap disopyramide ER capdofetilide capflecainide tabmexiletine capMULTAQ TABNORPACE CR CAPpropafenone ER cappropafenone tabquinidine gluconate CR tabQUINIDINE SULFATE ER TABQUINIDINE SULFATE TABANTIASTHMATIC AND BRONCHODILATORAGENTSADVAIR DISKUS INHALERADVAIR HFA INHALERalbuterol neb soln 0.083%albuterol neb soln 0.5%albuterol neb soln 0.63mgalbuterol neb soln 1.25mgalbuterol sulfate ER tabalbuterol sulfate syrupalbuterol sulfate tabNote: The list is subject to change and not all drugs listed may be covered on yourformulary. Please refer to your Navitus formulary for a complete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitus.comN3935-1018

navitus.comShare a Clear ViewALBUTEROL TAB ERalbuterol/ipratropium neb solnaminophylline tabANORO ELLIPTA INHALERARNUITY ELLIPTA INHALERASMANEX HFA INHALERASMANEX INHALERATROVENT HFA INHALERBREO ELLIPTA INHALERBROVANA NEB SOLNbudesonide inh suspCOMBIVENT INHALERCOMBIVENT RESPIMAT INHALERcromolyn neb solnDULERA INHALERELIXOPHYLLIN ELIXIRFLOVENT DISKUS INHALERFLOVENT HFA INHALERFLUTICASONE/SALMETEROL INHALERFORADIL AEROLIZERINCRUSE ELLIPTA INHALERipratropium neb solnlevalbuterol neb solnLONHALA MAGNAIR SOLNLUFYLLIN TABMETAPROTERENOL SYRUPMETAPROTERENOL TABmontelukast chew tabmontelukast granule packmontelukast tabPERFOROMIST NEB SOLNSEREVENT DISKUS INHALERSPIRIVA RESPIMAT INHALER 1.25MCG/ACTSTIOLTO INHALER STRIVERDI RESPIMAT INHALERterbutaline sulfate tabTHEO-24 CAPtheophylline CR tabtheophylline ER tabtheophylline solnTRELEGY ELLIPTA INHALERVENTOLIN HFA INHALERzafirlukast tabzileuton ER tabZYFLO TABANTICOAGULANTSELIQUIS TABenoxaparin injfondaparinux injFRAGMIN INJPRADAXA CAPwarfarin tabXARELTO STARTER PACKXARELTO TABANTICONVULSANTSBANZEL SUSPBANZEL TABcarbamazepine chew tabcarbamazepine ER capcarbamazepine ER tabcarbamazepine suspcarbamazepine tabCELONTIN CAPclobazam tabclonazepam ODTclonazepam tabDIASTAT RECTAL GEL, DIAZEPAM RECTALGELDILANTIN CAP 30MGNote: The list is subject to change. Please always refer to your Navitus formulary fora complete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitus.com

navitus.comShare a Clear Viewdivalproex ER tabdivalproex sodium DR tabdivalproex sprinkle capethosuximide capethosuximide solnfelbamate suspfelbamate tabFELBATOL TABgabapentin capgabapentin solngabapentin tabLAMICTAL CHEW TAB 2MGLAMICTAL ODT KIT, LAMICTAL XR KITlamotrigine chew tablamotrigine ER tablamotrigine ODTlamotrigine ODT kitlamotrigine tablevetiracetam ER tablevetiracetam solnlevetiracetam tabLYRICA CAPLYRICA SOLNoxcarbazepine suspoxcarbazepine tabPEGANONE TABphenytoin capphenytoin chew tabphenytoin suspPOTIGA TABPOTIGA TAB 50MGprimidone tabSABRIL TABtiagabine tabtopiramate sprinkle cap topiramate tabTRILEPTAL SUSPvalproic acid capvalproic acid syrupvigabatrin powder packVIMPAT SOLNVIMPAT TABzonisamide capANTIDEPRESSANTSamitriptyline tabAMOXAPINE TABbupropion ER tabbupropion tabbupropion XL tabcitalopram solncitalopram tabclomipramine capdesipramine tabdesvenlafaxine ER tabdoxepin capdoxepin concduloxetine EC capEMSAM PATCHescitalopram solnescitalopram tabfluoxetine capfluoxetine solnfluoxetine tabfluvoxamine ER capfluvoxamine tabimipramine pamoate capimipramine tabMAPROTILINE TABMARPLAN TABmirtazapine ODTNote: The list is subject to change. Please always refer to your Navitus formulary for acomplete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitus.com

navitus.comShare a Clear Viewmirtazapine tabNARDIL TABNEFAZODONE TABnefazodone tab 50mg, 250mgnortriptyline capnortriptyline oral solnNORTRIPTYLINE SOLNOLEPTRO TABparoxetine ER tabparoxetine tabPAXIL SUSPphenelzine tabprotriptyline tabsertraline concsertraline tabtranylcypromine tabtrazodone tabtrimipramine capvenlafaxine ER capvenlafaxine tabANTIDIABETICSacarbose tabACTOPLUS MET XR TABAVANDAMET TABAVANDARYL TABAVANDIA TABB-D INSULIN SYRINGEB-D PEN NEEDLEBYDUREON BCISE AUTO INJBYDUREON INJBYDUREON PEN INJBYETTA INJCHLORPROPAMIDE TABCYCLOSET TABDIABETA TAB FARXIGA TABglimepiride tabglipizide ER tabglipizide tabglipizide/metformin tabGLUCAGEN HYPOKIT INJGLUCAGON INJ KITglyburide micronized tabglyburide tabglyburide/metformin tabGLYXAMBI TABHUMULIN R INJ U-500HUMULIN R U-500 KWIKPEN INJJANUMET TABJANUMET XR TABJANUVIA TABJARDIANCE TABJENTADUETO TABJENTADUETO XR TABKORLYM TABLANTUS INJLANTUS SOLOSTAR INJLEVEMIR FLEXTOUCH INJLEVEMIR INJmetformin ER tabmetformin tabmiglitol tabnateglinide tabNOVOFINE PEN NEEDLENOVOLIN INJNOVOLOG FLEXPEN INJ, FIASPFLEXTOUCH INJNOVOLOG INJ, FIASP INJNOVOLOG MIX FLEXPEN INJNOVOLOG MIX INJNote: The list is subject to change. Please always refer to your Navitus formulary for acomplete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitus.com

navitus.comShare a Clear ViewNOVOLOG PENFILL INJNOVOTWIST PEN NEEDLENOVOTWIST/NOVOFINE PEN NEEDLEOZEMPIC INJpioglitazone tabPROGLYCEM SUSPrepaglinide tabRIOMET SOLN, METFORMIN SOLNSYNJARDY TABSYNJARDY XR TAB 10-1000MG, 251000MGSYNJARDY XR TAB 5-1000MG, 12.51000MGtolazamide tabTOLBUTAMIDE TABTOUJEO MAX SOLOSTAR INJTOUJEO SOLOSTAR INJTRADJENTA TABTRESIBA FLEXTOUCH INJTRESIBA INJTRULICITY INJVICTOZA INJXIGDUO XR TAB 2.5-1000MG,5-1000MGXIGDUO XR TAB 5-500MG, 10-500MG,10-1000MGXULTOPHY INJANTIHYPERLIPIDEMICSatorvastatin tab 10mgatorvastatin tab 20mgatorvastatin tab 40mgatorvastatin tab 80mgcholestyramine lite powdercholestyramine lite powder packcholestyramine powder cholestyramine powder packcolesevelam packcolesevelam tabcolestipol granulecolestipol powder packetcolestipol tabezetimibe tabezetimibe/simvastatin tabfenofibrate cap 67mg, 134mg, 200mgfenofibrate tab 48mg, 54mg, 145mg,160mgfenofibric acid DR capFENOFIBRIC TAB, FIBRICOR TABfluvastatin capgemfibrozil tabLIVALO TABlovastatin tabniacin ER tabomega-3-acid ethyl esters cappravastatin tabrosuvastatin tab 10mgrosuvastatin tab 20mgrosuvastatin tab 40mgrosuvastatin tab 5mgsimvastatin tabANTIHYPERTENSIVESALTACE TABamlodipine/benazepril capamlodipine/olmesartan tabamlodipine/valsartan tabamlodipine/valsartan/hydrochlorothiazide tabAMTURNIDE TABatenolol/chlorthalidone tabbenazepril tabNote: The list is subject to change. Please always refer to your Navitus formulary for acomplete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitus.com

navitus.comShare a Clear Viewbenazepril/hydrochlorothiazide tabbisoprolol/hydrochlorothiazide tabcaptopril tabCAPTOPRIL/HYDROCHLOROTHIAZIDETABclonidine patchclonidine tabCORZIDE TAB 80-5MGdoxazosin tabenalapril tabenalapril/hydrochlorothiazide tabEPANED PREMIXED SOLNEPANED SOLNeplerenone tabfosinopril tabfosinopril/hydrochlorothiazide tabGUANABENZ TABguanfacine IR tabhydralazine tabirbesartan tabirbesartan/hydrochlorothiazide tablisinopril tablisinopril/hydrochlorothiazide tablosartan tablosartan/hydrochlorothiazide tabmethyldopa tabmethyldopa/hydrochlorothiazide tabmetoprolol/hydrochlorothiazide tabminoxidil tabmoexipril lumethiazide tabNEXICLON XR SUSPNEXICLON XR TAB olmesartan tabolmesartan/hydrochlorothiazide tabperindopril tabphenoxybenzamine capprazosin cappropranolol/hydrochlorothiazide tabQBRELIS SOLNquinapril tabquinapril/hydrochlorothiazide tabramipril capRESERPINE TABTARKA TABTEKAMLO TABTEKTURNA HCT TABTEKTURNA TABtelmisartan tabterazosin captrandolapril tabtrandolapril/verapamil ER tabvalsartan tabvalsartan/hydrochlorothiazide tabVALTURNA TABANTINEOPLASTICS AND ADJUNCTIVETHERAPIESabiraterone tab 250mganastrozole tabbicalutamide tabEMCYT CAPexemestane tabFARESTON TABflutamide capletrozole tabLYSODREN TABmegestrol suspmegestrol tabNote: The list is subject to change. Please always refer to your Navitus formulary for acomplete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitus.com

navitus.comShare a Clear Viewnilutamide tabtamoxifen tabXTANDI CAPANTIOBESITYADIPEX-P CAPADIPEX-P TABBELVIQ TABBELVIQ XR TABCONTRAVE TABLOMAIRA TABphentermine capphentermine tabQSYMIA CAPBETA BLOCKERSacebutolol capatenolol tabbetaxolol tabbisoprolol tabBYSTOLIC TABcarvedilol tablabetalol tabLEVATOL TABmetoprolol ER tabmetoprolol tabnadolol tabpindolol tabpropranolol ER capPROPRANOLOL SOLNpropranolol tabsotalol AF tabsotalol tabtimolol maleate tabCALCIUM CHANNEL BLOCKERSamlodipine tabCARDENE SR CAPCARDIZEM LA TAB COVERA-HS TABdiltiazem ER capdiltiazem ER tabdiltiazem tabDYNACIRC CR TABfelodipine ER tabisradipine capnicardipine capnifedipine capnifedipine ER tabnimodipine capnisoldipine ER tabNISOLDIPINE ER TAB 25.5MGverapamil SR capVERAPAMIL SR CAP 360mgverapamil SR tabverapamil tabVERELAN SR CAP 360mgCARDIAC GLYCOSIDESdigoxin solndigoxin tabCARDIOVASCULAR AGENTS - MISC.amlodipine/atorvastatin tabENTRESTO TABCONTRACEPTIVESamethyst tabapri tabaranelle tabaviane tabCERVICAL CAPcesia tabCONCEPTROL GELCONTRACEPTIVE FILMCONTRACEPTIVE FOAMCONTRACEPTIVE GELCONTRACEPTIVE SUPPNote: The list is subject to change. Please always refer to your Navitus formulary for acomplete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitus.com

navitus.comShare a Clear Viewcryselle tabDEPO-PROVERA SC INJ 104MGDIAPHRAGMELLA TABenpresse tabFEMALE CONDOMSgianvi tab, ocella tabIMPLANON IMPLANT, NEXPLANONIMPLANTjolessa tab, amethia tabjunel FE tabjunel tabkariva tabkelnor tablevonorgestrel tabLEVONORGESTREL TAB 0.75MGLO LOESTRIN TABLO MINASTRIN 24 FE CHEW TABLOESTRIN 24 FE TABmedroxyprogesterone injmibelas chew tabMIRENA IUDmononessa tabNATAZIA TABnecon tabnecon tab 1-50norethindrone tabNORINYL TAB 1-50nortrel tabNUVARINGOGESTREL TABPARAGARD IUDPLAN B TABTODAY SPONGEtri-legest tab tri-nessa (LO) tabvcf vaginal gelwymzya FE tabXULANE PATCHDIAGNOSTIC PRODUCTSACCU-CHECK GUIDE CARE METERACCU-CHEK AVIVA PLUS METERACCU-CHEK AVIVA PLUS TEST STRIPACCU-CHEK GUIDE TEST STRIPACCU-CHEK NANO METERACCU-CHEK SMARTVIEW TEST STRIPACCU-CHEK TEST STRIPCALIBRATION LIQUIDCLINISTIX TEST STRIPDEXCOM G6 RECEIVERDEXCOM G6 SENSORDEXCOM G6 TRANSMITTERFREESTYLE FREEDOM LITE METERFREESTYLE INSULINX METERFREESTYLE INSULINX TEST STRIPFREESTYLE LIBRE RECEIVERFREESTYLE LIBRE SENSOR (10-DAY)FREESTYLE LIBRE SENSOR (14-DAY)FREESTYLE LITE METERFREESTYLE LITE TEST STRIPFREESTYLE PRECISION NEO METERFREESTYLE PRECISION NEO TEST STRIPFREESTYLE TEST STRIPKETO-DIASTIX TEST STRIPKETOSTIXLANCET DEVICELANCET KITLANCETSPRECISION XTRA METERPRECISION XTRA TEST STRIPV-GO INJ KITNote: The list is subject to change. Please always refer to your Navitus formulary for acomplete list of covered products.CUSTOMER CARE: 24 HOURS A DAY, 7 DAYS A WEEK www.navitu

NOVOTWIST PEN NEEDLE NOVOTWIST/NOVOFINE PEN NEEDLE OZEMPIC INJ pioglitazone tab PROGLYCEM SUSP repaglinide tab RIOMET SOLN, METFORMIN SOLN SYNJARDY TAB SYNJARDY XR TAB 10-1000MG, 25- . FORTEO INJ FORTICAL NASAL SPRAY FOSAMAX D TAB ibandronate tab 150mg MIACALCIN INJ NATPARA INJ risedronate DR tab risedronate tab SKELID TAB TYMLOS INJ

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