AffirmedRX

AffirmedRX

Preventative Drug List

AffirmedRx is committed to making healthcare more accessible by supporting your long-term health and wellness. This list provides examples of preventive medications that may be covered under our plan to help keep certain conditions from developing or coming back.

These medications are grouped into categories based on medication type. This is not all-inclusive. Coverage may vary by plan and may not apply to every dosage form or strength of a listed medication.

This list is reviewed periodically and may be updated based on clinical guidance, availability, and changes to plan coverage. Some medications may require you to try a generic alternative before a brand-name drug is covered.

How to Use This List:

  • Medications are grouped into broad categories.
  • Generic medications appear in lowercase.
  • Brand-name medications appear in standard capitalization.


Note
: This list is for informational purposes only and does not guarantee coverage. For details on your specific coverage, check your plan benefits or contact your healthcare provider

Antiasthmatic And Bronchodilator Agents

Drugs for the Lungs

  • budesonide inhalation
  • fluticasone propionate diskus
  • fluticasone propionate hfa inhalation aerosol
Antidepressants

Drugs for the Nervous System

  • citalopram hydrobromide oral solution
  • citalopram hydrobromide oral tablet
  • escitalopram oxalate oral
  • fluoxetine hcl oral
  • paroxetine hcl
  • paroxetine hcl er
  • sertraline hcl oral concentrate
  • sertraline hcl oral tablet
Antidiabetics

Drugs for Diabetes

  • HumaLOG Injection
  • HumaLOG Junior KwikPen
  • HumaLOG KwikPen Subcutaneous Solution Pen-Injector 100 UNIT/ML
  • HumaLOG Mix 50/50 KwikPen Subcutaneous Suspension Pen-Injector
  • HumaLOG Mix 50/50
  • HumaLOG Mix 75/25
  • HumaLOG Mix 75/25 KwikPen Subcutaneous Suspension Pen-Injector
  • HumaLOG Subcutaneous Solution Cartridge
  • HumaLOG Tempo Pen
  • HumuLIN 70/30
  • HumuLIN 70/30 KwikPen
  • HumuLIN N
  • HumuLIN N KwikPen
  • HumuLIN R
  • HumuLIN R U-500 (CONCENTRATED)
  • HumuLIN R U-500 KwikPen Subcutaneous Solution Pen-Injector
  • insulin aspart flexpen
  • insulin aspart injection
  • insulin aspart penfill
  • insulin aspart prot & aspart (70/30)
  • insulin aspart prot & aspart (70/30) flexpen
  • insulin degludec
  • insulin degludec flextouch
  • insulin glargine-yfgn
  • insulin glargine-yfgn pen
  • insulin lispro (1 unit dial)
  • insulin lispro injection
  • insulin lispro junior kwikpen
  • insulin lispro prot & lispro (75/25) pen
  • Kirsty
  • Lantus
  • Lantus SoloStar Subcutaneous Solution Pen-Injector
  • Merilog Injection
  • Merilog SoloStar Pen-Injector
  • metformin hcl er
  • metformin hcl oral tablet 1000 mg, 500 mg, 850 mg
  • NovoLIN 70/30 Injection
  • NovoLIN 70/30 ReliOn
  • NovoLIN 70/30 FlexPen
  • NovoLIN 70/30 FlexPen ReliOn
  • NovoLIN N Injection
  • NovoLIN N ReliOn
  • NovoLIN N FlexPen ReliOn
  • NovoLIN N FlexPen
  • NovoLIN R Injection
  • NovoLIN R ReliOn
  • NovoLIN R FlexPen ReliOn
  • NovoLIN R FlexPen
  • NovoLOG Injection
  • NovoLOG ReliOn
  • NovoLOG PenFill Subcutaneous Solution Cartridge
  • NovoLOG FlexPen ReliOn
  • NovoLOG FlexPen
  • NovoLOG Mix 70/30 Injection
  • NovoLOG Mix 70/30 ReliOn
  • NovoLOG 70/30 FlexPen ReliOn
  • NovoLOG Mix 70/30 FlexPen
  • Tresiba Subcutaneous Solution
  • Tresiba FlexTouch Subcutaneous Solution Pen-Injector
Antihyperlipidemics

Drugs for the Heart

  • atorvastatin calcium oral
  • lovastatin oral
  • pravastatin sodium
  • rosuvastatin calcium oral
  • simvastatin oral tablet
Antihypertensives

Drugs for the Heart

  • amlodipine besy-benazepril hcl
  • atenolol-chlorthalidone
  • benazepril hcl oral
  • benazepril-hydrochlorothiazide
  • bisoprolol-hydrochlorothiazide
  • captopril oral
  • enalapril maleate oral
  • enalapril-hydrochlorothiazide
  • fosinopril sodium
  • fosinopril sodium-hctz
  • lisinopril oral
  • lisinopril-hydrochlorothiazide
  • metoprolol-hydrochlorothiazide
  • moexipril hcl
  • quinapril hcl
  • quinapril-hydrochlorothiazide oral
  • ramipril
  • trandolapril
Beta Blockers

Drugs for the Heart

  • acebutolol hcl oral
  • atenolol oral
  • betaxolol hcl oral
  • bisoprolol fumarate oral
  • carvedilol oral
  • labetalol hcl oral
  • metoprolol succinate er oral
  • metoprolol tartrate oral
  • nadolol oral
  • nebivolol hcl oral
  • pindolol oral
  • propranolol hcl er
  • propranolol hcl oral
  • sotalol hcl (af) oral
  • sotalol hcl oral
  • timolol maleate oral
Endocrine And Metabolic Agents – Misc.

Drugs for Osteoporosis

  • alendronate sodium oral solution
  • alendronate sodium oral tablet
  • ibandronate sodium oral
  • risedronate sodium oral tablet
  • risedronate sodium oral tablet delayed release
Medical Devices And Supplies

Diabetic Supplies

  • Accu-Chek FastClix Lancet
  • Accu-Chek FastClix Lancets Device
  • Accu-Chek Guide Test Strips
  • Accu-Chek Guide Control solution
  • Accu-Chek Guide Meter
  • Accu-Chek Softclix Lancet Device Kit
  • Accu-Chek Softclix Lancets
  • Insulin Syringes and Pen Needles