2013 Express Scripts National Preferred Preventive Drug List by Therapy Class Prescription Drugs: You Make the Choices, We Make it Easy Preventive Prescription Drugs: A Good Choice
Prescription drugs that can help keep you from developing a health condition are called preventive prescription drugs. They can help you maintain your quality of life and avoidexpensive treatment, helping to reduce your overall healthcare costs.
If your doctor prescribes a preventive prescription drug, you pay only a percentage of the total cost – right from the beginning. Is Your Drug a Preventive Prescription Drug?
The following is a list of the most commonly prescribed preventive drugs. The list is not all-inclusive and does not guarantee coverage. Not all the drugs listed are covered by allprescription-drug benefit programs; check your benefit materials for the specific drugs covered and the copayment information for your prescription-drug benefit program. For the member: Generic drugs are listed in lower case letters. Example: atenolol. Generic medications contain the same active ingredients as their corresponding brand-name medications, although they may look different in color or shape. They have been FDA-approved under strict standards.
Brand-name drugs are listed in CAPITAL letters. Example: TENORMIN. In addition to using this list, you are encouraged to ask your doctor to prescribe generic drugs wheneverappropriate.
Some drugs are marked with a symbol “*”. The symbol * next to a drug signifies subject to nonpreferred status when generic is available throughout the year. For the physician: Please prescribe preferred (Best Buy) products and allow generic substitutions when medically appropriate. Thank you. NOTE: This list does not indicate coverage. You or your doctor may be asked to prove that the drug you're taking is being used for prevention. This list does not include all conditions that may be prevented with preventive prescription drugs or all preventive drugs available. Your plan sponsor believes that these drugs satisfy the requirements for preventive care as outlined by the U.S. Treasury Department but cannot ensure that the Treasury Department would agree that all of these drugs satisfy the definition of preventive care. BEST BUY MEDICATIONS
The following list of drugs represents the preferred medications under the Preventive care list. Preferred medications are generic or brand-name drugsavailable to members at the lower cost. ANTINEOPLASTIC/ IMMUNOSUPPRESSANT DRUGS Aromatase Inhibitors Direct Renin Inhibitors Beta Blockers & Combos ANTIVIRAL DRUGS Adrenolytics-Central & Thiazide Combinations ENDOCRINE MEDICATIONS Diuretics Influenza Agents Angiotensin II Receptor Antidiabetic - Amylin Analogs Antagonists CARDIOVASCULAR Biguanides MEDICATIONS ACE Inhibitors Angiotensin II Receptor Antagonists & Thiazides Calcium Regulators Calcium Channel Blockers HMG CoA Reductase Inhibitors Angiotensin II Receptor Antag & Ca Channel Blocker Combinations Antiadrenergic Diabetic Other ACE Inhibitors & Calcium Antihypertensives Hypolipoproteinemics Channel Blocker Combinations Dipeptidyl Peptidase-4 ACE Inhibitors & Beta Blocker & Diuretic Inhibitors & Combos Thiazide/Thiazide-Like Combinations THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2013 THROUGH DECEMBER 31, 2013. THIS LIST IS SUBJECT TO CHANGE. Check your benefit materials for copayment information. Copayments vary based on formulary status. For specific questions about your coverage, please call the phone number printed on your ID card. You can get more information and updates to this document at our website at www.express-scripts.com. 2013 Express Scripts Holding Company PRMTCDHCPDL-13 (10/12/12) All Rights Reserved Incretin Mimetic Agents NUTRITION & BLOOD OTHER PREVENTIVE MEDICATIONS MODIFIERS Insulin
The following section lists the nonpreferred medications. These are drugs that are
Coumarin Anticoagulants
available to the member at a higher cost. Folic Acid/Folates A G Other Drugs Affecting Coagulation Q Ped Mv W/ Fluoride Insulin Sensitizing Agents Meglitinide Analogues Platelet Aggregation Inhibitors R Sulfonylurea-Biguanide Combinations H Thrombin Inhibitor S Sulfonylureas I OBSTETRICAL & GYNECOLOGICAL MEDICATIONS Hormone Receptor T Modulators EVISTA K Thiazolidinedione-Biguanide Prenatal Vitamins Combinations pioglitazone/metformin B L IMMUNOLOGICALS & VACCINES RESPIRATORY MEDICATIONS Adrenergic Combinations Antiasthmatic - Monoclonal Antibodies C Antimalarials Anti-Inflammatory Agents cromolyn sodium Beta Adrenergics Antiviral Monoclonal Antibodies U Immune Serums M Immunologicals & Vaccines Bronchodilators - Anticholinergics V Leukotriene Modulators N Steroid Inhalants W D X Xanthines P SMOKING CESSATION Z DIABETIC SUPPLIES F Diagnostic Tests THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2013 THROUGH DECEMBER 31, 2013. THIS LIST IS SUBJECT TO CHANGE. Check your benefit materials for copayment information. Copayments vary based on formulary status. For specific questions about your coverage, please call the phone number printed on your ID card. You can get more information and updates to this document at our website at www.express-scripts.com. 2013 Express Scripts Holding Company PRMTCDHCPDL-13 (10/12/12) All Rights Reserved
Hormone Replacement Therapy: Pros and Cons…Natural Alternatives by Len Saputo, MD Definition Natural Synthetic ERT vs HRT Reasons for using ERT There are two estrogen receptor types…alpha and beta, and there may be others. Alpha receptors are located in the target cell nucleus. Binding affinity to these receptors determines biological activity, but is n