Microsoft word - bcbsnc medication adherence copay waiver drug list_11.07.07 final.doc
BCBSNC Medication DedicationSM Copay Waiver Drug List (2007)* DRUGS TO TREAT HIGH BLOOD PRESSURE AND OTHER CARDIOVASCULAR CONDITIONS
AMILORIDE/HYDROCHLOROTHIAZIDE (Generic for Moduretic)
BISOPROLOL FUMARATE (Generic for Zebeta)
LABETOLOL (Generic for Trandate, Normodyne)
METOPROLOL SUCCINATE (Generic for Toprol XL)
DIURETICS
METOPROLOL TARTRATE (Generic for Lopressor)
SPIRONOLACTONE/HYDROCHLOROTHIAZIDE (Generic for Aldactazide)
PROPRANOLOL EXTENDED-RELEASE (Generic for Inderal LA)
TRIAMTERENE/HYDROCHLOROTHIAZIDE (Generic for Dyazide, Maxzide) AMLODIPINE BESYLATE (Generic for Norvasc)
DOXAZOSIN MESYLATE (Generic for Cardura)
DILTIAZEM EXTENDED-RELEASE (Generic for Cardizem CD, Cardizem SR, Dilacor XR, Tiazac)
GUANABENZ ACETATE (Generic for Wytensin)
NIFEDIPINE (Generic for Procardia, Adalat)
YPERTENSIVES
NIFEDIPINE EXTENDED-RELEASE (Generic for Procardia XL, Adalat CC)
ANTI TERAZOSIN (Generic for Hytrin)
VERAPAMIL EXTENDED-RELEASE (Generic for Calan SR, Isoptin SR, Verelan, Verelan PM)
*Please note this list is subject to change based on safety considerations and availability of new medications.
PO Box 2291 • Durham, NC 27702-2291 • www.bcbsnc.com
An Independent Licensee of the Blue Cross and Blue Shield Association
BCBSNC Medication DedicationSM Copay Waiver Drug List (2007)* DRUGS TO TREAT HIGH BLOOD PRESSURE AND OTHER CARDIOVASCULAR CONDITIONS
AMLODIPINE/BENAZEPRIL (Generic for Lotrel) – not all strengths
ATENOLOL/CHLORTHALIDONE (Generic for Tenoretic)
BENAZEPRIL/HYDROCHLOROTHIAZIDE (Generic for Lotensin HCT)
FOSINOPRIL SODIUM (Generic for Monopril)
BISOPROL/HYDROCHLOROTHIAZIDE (Generic Generic for Ziac)
LISINOPRIL (Generic for Zestril, Prinivil)
CAPTOPRIL/HYDROCHLOROTHIAZIDE (Generic for Capozide)
CLONIDINE HCL/CHLORTHALIDONE (Generic for Combipres)
ENALAPRIL/HYDROCHLOROTHIAZIDE (Generic for Vaseretic)
FOSINOPRIL/HYDROCHLOROTHIAZIDE (Generic for Monopril HCT)
HYPERTENS
HYDRALAZINE/RESERPINE/HCTZ LISINOPRIL/HYDROCHLOROTHIAZIDE (Generic for Zestoretic, Prinzide)
METHYLDOPA/HYDROCHLOROTHIAZIDE (Generic for Aldoril) METOPROL/HYDROCHLOROTHIAZIDE (Generic for Lopressor HCT) MOEXIPRIL/HYDROCHLOROTHIAZIDE (Generic for Uniretic)
NADOLOL/BENDROFLUMETHIAZIDE (Generic for Corzide) PROPRANOLOL/HYDROCHLOROTHIAZIDE (Generic for Inderide) QUINAPRIL/HYDROCHLOROTHIAZIDE (Generic for Accuretic)
*Please note this list is subject to change based on safety considerations and availability of new medications.
PO Box 2291 • Durham, NC 27702-2291 • www.bcbsnc.com
An Independent Licensee of the Blue Cross and Blue Shield Association
BCBSNC Medication DedicationSM Copay Waiver Drug List (2007)* DRUGS TO TREAT DIABETES DRUGS TO TREAT HIGH CHOLESTEROL
CHOLESTYRAMINE/SUCROSE (Generic for Questran)
CHOLESTYRAMINE/ASPARTAME (Generic for Locholest Light, Questran
GLIPIZIDE/METFORMIN (Generic for Metaglip)
FENOFIBRATE MICRONIZED (Generic for Lofibra)
GLYBURIDE (Generic for Micronase, Diabeta)
GLYBURIDE,MICRONIZED (Generic for Glynase, Glycron)
RING AGEN DIABETES
GLYBURIDE/METFORMIN Generic for Glucovance)
PRAVASTATIN SODIUM (Generic for Pravachol)
ORAL AGENTS FOR
METFORMIN ER (Generic for Glucophage XR)
LIPID/CHOLESTEROL
*Please note this list is subject to change based on safety considerations and availability of new medications.
PO Box 2291 • Durham, NC 27702-2291 • www.bcbsnc.com
An Independent Licensee of the Blue Cross and Blue Shield Association
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BCBSNC Medication DedicationSM Copay Waiver Drug List (2007)* 
BCBSNC Medication DedicationSM Copay Waiver Drug List (2007)* 
BCBSNC Medication DedicationSM Copay Waiver Drug List (2007)*