AffirmedRX

AffirmedRX

University of Minnesota ACA Drug List

AffirmedRx is committed to making healthcare more accessible by ensuring that medications covered under the Affordable Care Act (ACA) are easy to understand and access. The ACA requires coverage for a range of preventive medications to support long-term health and wellness.

This includes drugs recommended by the U.S. Preventive Services Task Force (USPSTF), Health Resources and Services Administration (HRSA), and Advisory Committee on Immunization Practices (ACIP), as adopted by the Centers for Disease Control and Prevention (CDC). These medications are covered for preventive care and chronic condition management in accordance with ACA guidelines.

Please note:

  • Coverage may be based on your health plan.
  • Some medications may require trying a generic version before the brand-name drug is covered.
  • This list is reviewed periodically and may change based on ACA updates.

How to Use This List:

  • All drugs are grouped into broad categories.
  • Each category is alphabetized.
  • Generic drugs are listed in lowercase.
  • Brand-name drugs appear in capitalized letters.
  • Additional notes for the medications are listed under their category.

For details on your specific coverage, check your plan benefits or contact your healthcare provider.

Antidiabetics
  • metformin hcl oral tablet 850 mg
Antihyperlipidemics

ACA Benefit for ages 40-75

  • atorvastatin calcium oral
  • fluvastatin sodium
  • fluvastatin sodium er
  • lovastatin oral
  • pravastatin sodium
  • rosuvastatin calcium oral
  • simvastatin oral tablet
Antibacterial Eye Ointment
  • erythromycin ophthalmic ointment 5 mg/gm
Antivirals
  • APRETUDE
  • DESCOVY ORAL TABLET 200-25 MG
  • emtricitabine-tenofovir df
  • TRUVADA
Aspirin Products
  • aspirin 81 tablet chewable 81 mg
  • aspirin 81 tablet delayed release 81 mg
Bowel Preparations

ACA Benefit for ages 45-75

  • GAVILYTE-C
  • GAVILYTE-G
  • na sulfate-k sulfate-mg sulf oral solution 17.5-3.13-1.6 gm/177ml
  • peg 3350-kcl-na bicarb-nacl
  • peg-3350/electrolytes
  • peg-3350/electrolytes/ascorbat
  • peg-kcl-nacl-nasulf-na asc-c
Breast Cancer Prevention

ACA Benefit for ages 35 and above

  • anastrozole oral
  • exemestane
  • raloxifene hcl
  • SOLTAMOX
  • tamoxifen citrate oral
Contraceptives
  • AFIRMELLE
  • aimsco lubricated
  • ALTAVERA
  • ALYACEN 1/35
  • ALYACEN 7/7/7
  • AMETHYST
  • APRI
  • ARANELLE
  • ASHLYNA
  • AUBRA EQ
  • AUROVELA 1.5/30
  • AUROVELA 1/20
  • AUROVELA 24 FE
  • AUROVELA FE 1.5/30
  • AUROVELA FE 1/20
  • AVIANE
  • AYUNA
  • AZURETTE
  • BALCOLTRA
  • BALZIVA
  • BEYAZ
  • BLISOVI 24 FE
  • BLISOVI FE 1.5/30
  • BLISOVI FE 1/20
  • BRIELLYN
  • CAMILA
  • CAMRESE
  • CAMRESE LO
  • CHARLOTTE 24 FE
  • CHATEAL EQ
  • condoms
  • CRYSELLE-28
  • CYRED EQ
  • DASETTA 1/35 (28)
  • DASETTA 7/7/7
  • DAYSEE
  • DEBLITANE
  • DELYLA
  • DEPO-SUBQ PROVERA 104
  • desogestrel-ethinyl estradiol oral tablet 0.15-0.02/0.01 mg (21/5)
  • DOLISHALE
  • drospiren-eth estrad-levomefol
  • drospirenone-ethinyl estradiol
  • ELINEST
  • ELLA
  • ELURYNG
  • EMZAHH
  • ENCARE VAGINAL SUPPOSITORY
  • ENILLORING
  • ENPRESSE-28
  • ENSKYCE ORAL TABLET 0.15-30 MG-MCG
  • ERRIN
  • ESTARYLLA
  • ethynodiol diac-eth estradiol
  • etonogestrel-ethinyl estradiol
  • FALMINA
  • FC2 FEMALE CONDOM
  • FEMCAP VAGINAL DEVICE 22 MM
  • FEMLYV
  • FINZALA
  • GALBRIELA
  • GEMMILY
  • HAILEY 1.5/30
  • HAILEY 24 FE
  • HAILEY FE 1.5/30
  • HAILEY FE 1/20
  • HALOETTE
  • HEATHER
  • ICLEVIA
  • INCASSIA
  • INTROVALE
  • ISIBLOOM
  • JAIMIESS
  • JASMIEL
  • JENCYCLA
  • JOLESSA
  • JOYEAUX
  • JULEBER
  • JUNEL 1.5/30
  • JUNEL 1/20
  • JUNEL FE 1.5/30
  • JUNEL FE 1/20
  • JUNEL FE 24
  • KAITLIB FE
  • KALLIGA
  • KARIVA
  • KELNOR 1/35
  • KELNOR 1/50
  • KURVELO
  • KYLEENA INTRAUTERINE DEVICE
  • LARIN 1.5/30
  • LARIN 1/20
  • LARIN 24 FE
  • LARIN FE 1.5/30
  • LARIN FE 1/20
  • LAYOLIS FE
  • LEENA
  • LESSINA
  • LEVONEST
  • levonorgest-eth est & eth est
  • levonorgest-eth estrad 91-day
  • levonorgestrel-ethinyl estrad
  • levonorgestrel-ethinyl estrad-ferrous bisglycinate
  • levonorg-eth estrad triphasic oral tablet 50-30/75-40/ 125-30 mcg
  • LEVORA 0.15/30 (28)
  • LILETTA (52 MG) INTRAUTERINE DEVICE 20.1 MCG/DAY
  • LOESTRIN 1.5/30 (21)
  • LOESTRIN 1/20 (21)
  • LOESTRIN FE 1.5/30
  • LOESTRIN FE 1/20
  • LO-LOESTRIN FE
  • LOJAIMIESS
  • LORYNA
  • LOW-OGESTREL
  • LO-ZUMANDIMINE
  • LUTERA
  • LYLEQ
  • LYZA
  • MARLISSA
  • medroxyprogesterone acetate intramuscular
  • MERZEE
  • MIBELAS 24 FE
  • MICROGESTIN 1.5/30
  • MICROGESTIN 1/20
  • MICROGESTIN FE 1.5/30
  • MICROGESTIN FE 1/20
  • MILI
  • MINZOYA
  • MIRENA (52 MG) INTRAUTERINE DEVICE 20 MCG/DAY
  • MONO-LINYAH
  • NATAZIA
  • NECON 0.5/35 (28)
  • NECON 1/35
  • NEXPLANON
  • NEXTSTELLIS
  • NIKKI
  • NORA-BE
  • norelgestromin-eth estradiol
  • norethin ace-eth estrad-fe oral capsule
  • norethin ace-eth estrad-fe oral tablet 1-20 mg-mcg, 1.5-30 mg-mcg
  • norethin ace-eth estrad-fe oral tablet chewable
  • norethindrone acet-ethinyl est oral tablet
  • norethindrone oral
  • norethin-eth estradiol-fe
  • norgestimate-eth estradiol oral tablet 0.18/0.215/0.25 mg-25 mcg, 0.25-35 mg-mcg
  • norgestim-eth estrad triphasic
  • NORLYDA
  • NORLYROC
  • NORTREL 0.5/35 (28)
  • NORTREL 1/35 (21)
  • NORTREL 1/35 (28)
  • NORTREL 7/7/7
  • NYLIA 1/35
  • NYLIA 7/7/7
  • OCELLA
  • OPTIONS GYNOL II CONTRACEPTIVE
  • ORSYTHIA
  • ORQUIDEA
  • PARAGUARD INTRAUTERINE COPPER
  • PHEXXI
  • PHILITH
  • PIMTREA
  • PIRMELLA 7/7/7
  • PORTIA-28
  • RECLIPSEN
  • RIVELSA
  • SAFYRAL
  • SETLAKIN
  • SHAROBEL
  • SIMLIYA
  • SIMPESSE
  • SKYLA INTRAUTERINE DEVICE
  • SLYND
  • SOLIA
  • SPRINTEC 28
  • SRONYX
  • SYEDA
  • TARINA 24 FE
  • TARINA FE 1/20 EQ
  • TAYSOFY
  • TAYTULLA
  • TILIA FE
  • TODAY SPONGE
  • TRI FEMYNOR
  • TRI-ESTARYLLA
  • TRI-LEGEST FE
  • TRI-LINYAH
  • TRI-LO-ESTARYLLA
  • TRI-LO-MARZIA
  • TRI-LO-MILI
  • TRI-LO-SPRINTEC
  • TRI-MILI
  • TRI-SPRINTEC
  • TRIVORA (28)
  • TRI-VYLIBRA
  • TRI-VYLIBRA LO
  • TURQOZ
  • TWIRLA
  • TYBLUME
  • VCF VAGINAL CONTRACEPTIVE VAGINAL FILM
  • VCF VAGINAL CONTRACEPTIVE VAGINAL GEL VESTURA
  • VIENVA
  • VIORELE
  • VOLNEA
  • VYFEMLA
  • VYLIBRA
  • WERA
  • WIDE-SEAL DIAPHRAGM
  • WYMZYA FE
  • XULANE
  • YASMIN 28
  • YAZ
  • ZAFEMY
  • ZOVIA 1/35 (28)
  • ZUMANDIMINE
Folic Acid Supplements

ACA Benefit for ages 0-45

  • folic acid oral capsule 0.8 mg
  • folic acid oral tablet 1 mg, 400 mcg, 800 mcg
Fluoride Products

ACA Benefit for ages 0-5

  • Floriva
  • Sodium Fluoride Cream 1.1%
  • Sodium Fluoride-Potassium Nitrate Gel 1.1-5%
  • Sodium Fluoride Gel 1.1% (0.5% F)
  • Stannous Fluoride Gel 0.4%
  • Stannous Fluoride Conc 0.63%
  • Sodium Fluoride Paste 1.1%
  • Sodium Fluoride Rinse 0.2%
Pediatric Iron Supplements
  • Carbonyl Iron Susp 15 MG/1.25ML (Elemental Iron)
  • Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe)
  • Ferrous Sulfate Soln 300 MG/5ML (60 MG/5ML Elemental Fe)
  • Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe)
  • Polysaccharide Iron Complex Liquid 15 MG/0.5ML (Fe Equiv)
Smoking Cessation

ACA Benefit: 168-day supply in 365 days

  • bupropion hcl er (smoking det)
  • nicotine mouth/throat gum
  • NICOTROL
  • NICOTROL NS
  • varenicline tartrate oral tablet 0.5 mg, 1 mg
Vaccines
  • ABRYSVO
  • ACTHIB
  • ADACEL INTRAMUSCULAR SUSPENSION 5-2-15.5 LF-MCG/0.5
  • AFLURIA
  • AFLURIA PRESERVATIVE FREE INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • AREXVY
  • BEXSERO
  • BOOSTRIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • CAPVAXIVE
  • COMIRNATY INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • DAPTACEL INTRAMUSCULAR SUSPENSION 23-15-5
  • ENGERIX-B INJECTION SUSPENSION 20 MCG/ML
  • ENGERIX-B INJECTION SUSPENSION PREFILLED SYRINGE
  • FLUAD
  • FLUARIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • FLUCELVAX INTRAMUSCULAR SUSPENSION
  • FLUCELVAX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • FLULAVAL INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • FLUMIST
  • FLUZONE HIGH-DOSE INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • FLUZONE INTRAMUSCULAR SUSPENSION
  • FLUZONE INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • GARDASIL 9
  • HAVRIX INTRAMUSCULAR SUSPENSION 1440 EL U/ML, 720 EL U/0.5ML
  • HEPLISAV-B INTRAMUSCULAR SOLUTION PREFILLED SYRINGE
  • HIBERIX INJECTION
  • INFANRIX
  • IPOL INJECTION INJECTABLE
  • JYNNEOS
  • KINRIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • MENQUADFI INTRAMUSCULAR SOLUTION
  • MENVEO
  • M-M-R II INJECTION
  • mNexspike Suspension
  • MODERNA COVID-19 VAC 6M-11Y INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • MRESVIA
  • novavax covid-19 vaccine intramuscular suspension prefilled syringe
  • PEDIARIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • PEDVAX HIB INTRAMUSCULAR SUSPENSION
  • PENBRAYA
  • PENMENVY
  • PENTACEL INTRAMUSCULAR SUSPENSION RECONSTITUTED
  • PFIZER COVID-19 VAC-TRIS 5-11Y INTRAMUSCULAR SUSPENSION 10 MCG/0.3ML
  • pfizer covid-19 vac-tris 6m-4y intramuscular suspension 3 mcg/0.3ml
  • PNEUMOVAX 23 INJECTION SOLUTION PREFILLED SYRINGE
  • PREVNAR 20
  • PRIORIX
  • PROQUAD SUBCUTANEOUS SUSPENSION RECONSTITUTED
  • QUADRACEL INTRAMUSCULAR SUSPENSION
  • QUADRACEL INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • RECOMBIVAX HB INJECTION SUSPENSION 10 MCG/ML, 40 MCG/ML, 5 MCG/0.5ML
  • RECOMBIVAX HB INJECTION SUSPENSION PREFILLED SYRINGE
  • ROTARIX ORAL SUSPENSION
  • ROTATEQ SOLUTION ORAL
  • SHINGRIX INTRAMUSCULAR SUSPENSION RECONSTITUTED 50 MCG/0.5ML
  • SPIKEVAX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • TDVAX
  • TENIVAC INTRAMUSCULAR INJECTABLE 5-2 LFU
  • tetanus-diphtheria toxoids td
  • TRUMENBA
  • TWINRIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE
  • VAQTA INTRAMUSCULAR SUSPENSION 25 UNIT/0.5ML, 50 UNIT/ML
  • VARIVAX INJECTION
  • VAXELIS
  • VAXNEUVANCE