This list is a sample of commonly prescribed generic and preferred brand drugs Seethefull and updateBlue Cross and Blue Shield of Illinois prescription drug istat bcbsilcom The online Performance Drug ID: 883916
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1 ��July COMMONLY PRESCRIBED
��July COMMONLY PRESCRIBED DRUGS�� Drug trademarks and servicemarks are the property of their respective thirdparty owners.A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association This list is a sample of commonly prescribed generic and preferred brand drugs. Seethefull and updateBlue Cross and Blue Shield of Illinois prescription drug istat bcbsil.com . The online Performance Drug List, Performance Select Drug List)may be changedas often as four times a yearbasedon your prescription drubenefit planSome online drug lists (Annual versions) may only be changed once a year, based on your prescription drug benefit plan.The online Drug List (for Metallic plans) may bechangedmonthlywith added drugsThe drug listmay have medicinesnot covered under your prescription drug benefit plan. Also, prescription versions of overthecounter (OTC) medicinesmay not be covered based on Generic drugs are shown in lowercase type.Preferredbrand drugs are shown in all CAPITAL LETTERS. ANTIHYPERTENSIVES Angiotensin ConvertingEnzyme (ACE) Inhibitors and Combinationsenazeprilhclbenazepril/hydrochlorothiazidecaptoprilenalaprilmaleateenalaprilmaleate/hydrochlorothiazidefosinoprilsodiumfosinoprilsodium/hydrochlorothiazidelisinoprillisinopril/hydrochlorothiazidemoexiprilhclperindoprilerbuminequinaprilhclquinapril verapamil hcl tabverapamil hcl tab er ADVAIRlbuterol ulfate HFAlbuterolsulfate soln nebualbuterol sulfate syrupalbuterolulfateA
2 NORO ELLIPTAARNUITY ELLIPTAASMANEXHFABRE
NORO ELLIPTAARNUITY ELLIPTAASMANEXHFABREO ELLIPTABREZTRI AEROSPHEREudesonideinhalation suspCOMBIVENT RESPIMATDULERAFLOVENT DISKUS FLOVENT HFAINCRUSE ELLIPTAipratropium bromideinhal solnipratropiumalbuterol nebu solnlevalbuterolhcl soln nebu concmontelukast sodiumQVARREDIHALERSEREVENT DISKUSSPIRIVAHANDIHALERSPIRIVA RESPIMATSTIOLTO RESPIMATSTRIVERDI RESPIMAT CHOLESTEROL torvastatincalcium tabcholestyraminelight powder packetscholine fenofibrate cap drcolesevelam hclcolestipolhcl granule packetsezetimibe tabezetimibesimvastatin tabfenofibrate micronized capfenofibrate gemfibrozillovastatinniacin pravastatinsodium tabrosuvastatincalcium tabsimvastatin DEPRESSION ��July COMMONLY PRESCRIBED DRUGS�� Drug trademarks and servicemarks are the property of their respective thirdparty owners.A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association DIABETES carboseBAQSIMI ONE PACKFARXIGAglimepirideglipizideglipizide tab er 24hrglipizidemetformin hcl tabGLUCAGON EMERGENCY KITglyburidemicronized tabglyburide tabglyburidemetformin tabGLYXAMBIGVOKE HYPOPEN 1PACKGVOKE PFSHUMULIN RINVOKAMETINVOKAMET XRINVOKANAJANUMETJANUMET XRJANUVIAJARDIANCELANTUSLANTUS SOLOSTARLEVEMIRetforminhcl tabmetformin hcl tab ernateglinideNOVOLIN 70/30NOVOLIN NNOVOLIN RNOVOLOG NOVOLOG MIX 70/30ioglitazonehclmetformin hcl tabpioglitazonehcl tabrepaglinideRYBELSUSSOLIQUA 100/33SYNJARDYSYNJARDY XRTRESIBA TRIJARDY XVICTOZAXIGDUO XRXULTOPHY 100/3.