Drugs

Prescription required.

Medications

Truvada® or Descovy® when used as pre-exposure prophylaxis (PrEP)

New 7/1/2020

Pre-exposure prophylaxis (or PrEP) is when people at risk for HIV take daily medicine to prevent HIV. PrEP can stop HIV from taking hold and spreading throughout your body. When taken daily, PrEP is highly effective for preventing HIV from sex or injection drug use. PrEP is much less effective when it is not taken consistently. If you are using Truvada (emtricitabine/tenofovir disoproxil fumarate) or Descovy (emtricitabine/tenofovir alafenamide) and feel it should be covered as a preventive benefit, call the number on the back of your member ID card and select the option for pharmacy.

Low-dose aspirin therapy to prevent heart disease



For adults between the ages of 50-69: Aspirin should only be started after having a discussion with your physician about the risks and benefits of this treatment. This treatment has important prevention benefits and harms for cardiovascular disease and colorectal cancer.

Statin therapy to prevent heart disease


 

For adults ages 40-75 years with no history of cardiovascular disease (CVD) who have one or more CVD risk factors and a calculated 10-year CVD event of 10% or greater.

Tobacco cessation products to help quit smoking or using tobacco



Nicotine replacement or tobacco cessation products are covered for up to 3 months. Coverage is continued for an additional 3 months if you have successfully quit smoking (a maximum of 6 months per calendar year).

Vitamin D supplement



Adults age 65+ who are at high risk for falls.