This list provides examples of commonly prescribed preventive medications. It is not an all-inclusive list; however, many examples of medications are listed in each category.

This list does not guarantee coverage. Please check with your plan administrator and/or benefit information materials if you have questions on coverage. Formulary and other plan restrictions may still apply. Your cost share will be determined by your plan’s drug coverage. Coverage prior to the deductible being met may not be provided for every dosage form of a listed medication. Individual plans may vary.

Please note: When feasible, brand names are shown in capital letters in each category. If a generic is available, it is listed in lowercase next to the brand name. If only generics are available (for example, brands may no longer be available), they will only be listed in lowercase. Coverage under the preventive benefit generally includes only generic medications and brand medications with no generic equivalents.

The Internal Revenue Service (IRS) guidelines for health savings account (HSA)-eligible high deductible health plans (HDHPs) allow coverage of certain preventive drugs prior to meeting the deductible. Alluma is not a tax advisor and does not represent or warrant that this list complies with IRS guidance or other applicable legal requirements. Health plan sponsors should seek the advice of legal counsel or a tax professional before adopting this list.

Drug list

Asthma/COPD

ACCOLATE (zafirlukast)
ADVAIR DISKUS (wixela inhub, fluticasone/salmeterol))
ADVAIR HFA
AIRDUO DIGIHALER
AIRSUPRA
albuterol HFA
albuterol nebulizer solution
albuterol oral
ANORO ELLIPTA
ARNUITY ELLIPTA
ASMANEX HFA
ASMANEX TWISTHALER
ATROVENT HFA
BREO ELLIPTA
BREZTRI AEROSPHERE
BROVANA (arformoterol)
budesonide oral inhalation
COMBIVENT RESPIMAT
cromolyn nebulizer solution
DULERA
FASENRA
formoterol
inhaler and nebulizer assistive devices
ipratropium/albuterol nebulizer solution
ipratropium nebulizer solution
LONHALA MAGNAIR
metaproterenol
montelukast
NUCALA
OHTUVAYRE
peak flow meters
QVAR REDIHALER
roflumilast
spirometers
SPIRIVA HANDIHALER
SPIRIVA RESPIMAT
STIOLTO RESPIMAT
STRIVERDI RESPIMAT
SYMBICORT (budesonide/formoterol fumarate, breyna)
terbutaline oral
TEZSPIRE
THEO-24
theophylline
TRELEGY ELLIPTA
XOLAIR
XOPENEX nebulizer solution (levalbuterol)
YUPELRI
zileuton ER
ZYFLO

Bone disease and fractures

ACTONEL (risedronate)
ATELVIA DR (risedronate DR)
BINOSTO
BONIVA oral (ibandronate)
DUAVEE
EVISTA (raloxifene)
FOSAMAX (alendronate)
FOSAMAX D
RECLAST (zoledronic acid)

Cavities

CLINPRO
GEL-KAM
periomed
PREVIDENT
sodium fluoride rinse, gel, cream, paste, tabs and drops

Colonoscopy preparation

gavilyte-c
gavilyte-n
GOLYTELY (polyethylene glycol gavilyte-g)
polyethylene glycol
sodium, potassium, and magnesium sulfates (generic for SUPREP)
SUFLAVE

Depression

citalopram
escitalopram
fluoxetine
fluoxetine DR
fluvoxamine
fluvoxamine ER
PAXIL (paroxetine)
PAXIL CR (paroxetine ER)
sertraline

Diabetes: Insulins

BASAGLAR
FIASP
HUMALOG
HUMULIN
LYUMJEV
SEMGLEE
TOUJEO MAX SOLOSTAR
TOUJEO SOLOSTAR
TRESIBA
TRESIBA FLEXTOUCH
INSULIN/GLP-1 RECEPTOR

Diabetes: Agonist combinations

SOLIQUA

Diabetes: Non-insulins

ACTOS (pioglitazone)
ACTOPLUS MET (pioglitazone/metformin)
AMARYL (glimepiride)
BRENZAVVY
BYDUREON
BYETTA
CYCLOSET
DUETACT (pioglitazone/glimepiride)
FARXIGA
glimepiride
glipizide
glipizide/metformin
glucometers
GLUCOTROL XL (glipizide ER)
glyburide
glyburide/metformin
GLYNASE (glyburide micronized)
GLYXAMBI
JANUMET
JANUMET XR
JANUVIA
JARDIANCE
Lancets
metformin
metformin ER
miglitol
Miscellaneous diabetic supplies (e.g., control solution, sensors, transmitters, insulin pumps)
MOUNJARO
nateglinide
needles
OSENI
OZEMPIC
PRECOSE (acarbose)
repaglinide
repaglinide/metformin
RIOMET (metformin solution)
RIOMET ER suspension
RYBELSUS
SEGLUROMET
STEGLATRO
SYMLINPEN
SYNJARDY
SYNJARDY XR
syringes
test strips
TRIJARDY XR
TRULICITY
XIGDUO XR

Heart disease and stroke: Blood thinners

aspirin, 81 mg & 325 mg
aspirin/dipyridamole ER
BEVYXXA
BRILINTA
clopidogrel
dabigatran
dipyridamole
DURLAZA ER
EFFIENT (prasugrel)
ELIQUIS
jantoven
warfarin
XARELTO
ZONTIVITY

Cholesterol-lowering: HMG-COA reductase inhibitors

atorvastatin
FLOLIPID suspension
fluvastatin
LESCOL XL (fluvastatin ER)
LIVALO
lovastatin
pravastatin
rosuvastatin
simvastatin
ZYPITAMAG

Cholesterol-lowering: Other

CADUET (amlodipine/atorvastatin)
colesevelam
COLESTID (colestipol)
ezetimibe
ezetimibe/simvastatin
FENOGLIDE (fenofibrate)
FIBRICOR (fenofibric acid)
LOPID (gemfibrozil)
NEXLETOL
NEXLIZET
NIACOR
niacin
NIASPAN (niacin ER)
QUESTRAN (cholestyramine)
QUESTRAN LITE (cholestyramine light, prevalite)
REPATHA
ROSZET
TRILIPIX (fenofibric acid DR)
VASCEPA (icosapent ethyl)

High-Blood Pressure (HBP): Ace inhibitors

ACCUPRIL (quinapril)
ALTACE (ramipril)
captopril
fosinopril
LOTENSIN (benazepril)
moexipril
perindopril
trandolapril
VASOTEC (enalapril)
ZESTRIL (lisinopril)

High-Blood Pressure (HBP): Ace inhibitors/diuretic combinations

ACCURETIC (quinapril/HCTZ)
captopril/HCTZ
fosinopril/HCTZ
LOTENSIN HCT (benazepril/HCTZ)
VASERETIC (enalapril/HCTZ)
ZESTORETIC (lisinopril/HCTZ)

High-Blood Pressure (HBP): Angiotensin II receptor antagonists

candesartan
eprosartan
irbesartan
losartan
olmesartan
telmisartan
valsartan

High-Blood Pressure (HBP): Angiotensin II receptor antagonists/diuretic combinations

candesartan/HCTZ
irbesartan/HCTZ
losartan/HCTZ
olmesartan/HCTZ
telmisartan/HCTZ
valsartan/HCTZ

High-Blood Pressure (HBP): Beta blockers

acebutolol
betaxolol
bisoprolol
CORGARD (nadolol)
LOPRESSOR (metoprolol tartrate)
metoprolol succinate ER
nebivolol
pindolol
propranolol
propranolol ER
TENORMIN (atenolol)
timolol

High-Blood Pressure (HBP): Beta blockers/diurectic combinations

metoprolol/HCTZ
nadolol/bendroflumethiazide
propranolol/HCTZ
TENORETIC (atenolol/chlorthalidone)
ZIAC (bisoprolol/HCTZ)

High Blood Pressure (HBP): Calcium channel blockers

amlodipine
CALAN SR (verapamil SR)
CARDIZEM (diltiazem)
CARDIZEM CD (cartia XT, diltiazem CD)
CARDIZEM LA (diltiazem ER, matzim LA)
dilt xr
felodipine ER
isradipine
nicardipine
nifedipine
NORLIQVA
PROCARDIA XL (nifedipine ER)
SULAR ER (nisoldipine ER)
TIAZAC ER (diltiazem ER, tiadylt ER, taztia XT)
verapamil
VERELAN (verapamil ER)
VERELAN PM (verapamil ER PM)

High-Blood Pressure (HBP): Diuretics

chlorothiazide
chlorthalidone
DIURIL suspension
hydrochlorothiazide
indapamide
metolazone
THALITONE

High-Blood Pressure (HBP): Other combinations

amlodipine/benazepril
amlodipine/olmesartan
amlodipine/olmesartan/HCTZ
amlodipine/valsartan
amlodipine/valsartan/HCTZ
blood pressure monitors
CADUET (amlodipine/atorvastatin)
PRESTALIA
trandolapril/verapamil ER
TWYNSTA (amlodipine/telmisartan)

Malaria

ARAKODA
chloroquine
mefloquine
MALARONE (atovaquone/ proguanil)
primaquine

Migraine prevention

AIMOVIG
AJOVY
EMGALITY 120mg
QULIPTA

Miscellaneous antivirals

APRETUDE
DESCOVY
emtricitabine/tenofovir disoproxil fumarate (TDF) 200mg/300mg
PREVYMIS
SYNAGIS

Smoking cessation

bupropion SR 150mg
CHANTIX (varenicline)
NICOTROL
NICODERM CQ (nicotine patches)
NICORETTE (nicotine gum and lozenges)

Vaccination

Anthrax, BCG, Cholera, COVID-19, Diphtheria, Haemophilus Influenza B, Hepatitis A and B, Human Papillomavirus, Influenza, Japanese Encephalitis, Measles, Meningococcal, Monkeypox, Mumps, Pertussis, Pneumococcal, Poliovirus, Rabies, Rotavirus, RSV, Rubella, Shingles, Tetanus, Tick-borne encephalitis, Typhoid, Varicella, Yellow Fever, Zoster

Vitamins or minerals

folic acid
prenatal vitamins
pediatric multivitamins with fluoride