Mandatory mail rider maintenance drug list If you have a prescription plan with the mandatory mail rider, you must obtain all long-term maintenance medications from the Express Scripts Pharmacy. Please note: This list may not include all maintenance medications and is subject to change. The list may include medications not covered by MESSA and may include medications that are subject to additional coverage rules. ACARBOSE ACCOLATE ACCUPRIL ACCURETIC ACEBUTOLOL ACEON ACETAZOLAMIDE ACIPHEX ACTIGALL ACTIVE ACTIVELLA ACTIVE-PAC ACTONEL ACTOPLUS ACTOS ADALAT ADENOCARD ADENOSINE ADVAIR AEROSPAN AFEDITAB AGGRASTAT AGGRENOX ALAVERT ALBUTEROL-TABLETS/SYRUP ALDACTAZIDE ALDACTONE ALENDRONATE ALFUZOSIN ALISKIREN ALLEGRA ALLEGRA-D ALOGLIPTIN ALOGLIPTIN-METFORMIN ALORA ALPHAGAN ALPROSTADIL ALTACE ALTAVERA ALTOPREV ALVESCO ALYACEN AMABELZ AMANTADINE AMARYL AMETHIA AMETHYST AMILORIDE AMILORIDE-HYDROCHLOROT AMINOPHYLLINE AMINOSALICYLIC AMIODARONE AMLODIPINE AMLODIPINE-ATORVASTATI AMLODIPINE-BENAZEPRIL AMLODIPINE-VALSARTAN AMLODIPINE-OLMESARTAN ANAPROX ANGELIQ ANTARA APRACLONIDINE APRI APTIOM AQUASOL ARANELLE ARICEPT ARMONAIR ARMOUR ARNUITY ARTHROTEC ASCORBIC ASHLYNA ASMANEX ASPIRIN ASPIRIN-DIPYRIDAMOLE ATABEX ATACAND ATELVIA ATENOLOL ATENOLOL-CHLORTHALIDON ATORVASTATIN AUBRA AVALIDE AVANDIA AVAPRO AVIANE AVODART AYGESTIN AZILECT AZOPT AZOR AZULFIDINE AZURETTE BAL-CARE BALCOLTRA BALZIVA BANZEL BECONASE BEKYREE BENAZEPRIL BENAZEPRIL-HYDROCHLORO BENICAR
BENZTROPINE BETAGAN BETAHISTINE BETAPACE BETAXOLOL BETIMOL BETOPTIC BEYAZ BIMATOPROST BINOSTO BISOPROLOL BISOPROLOL-HYDROCHLORO BLISOVI BLOXIVERZ BONIVA BREO BREVIBLOC BREVICON BRIELLYN BRILINTA BRIMONIDINE BROMOCRIPTINE BUDESONIDE BUMETANIDE BYSTOLIC BYVALSON CADEAU CADUET CALAN CALCITONIN-SALMON CALCITRIOL CALCIUM PNV CALDOLOR CAMBIA CAMILA CAMRESE CANDESARTAN CILEXETIL CANDESARTAN- HCTZ CAPASTAT CAPTOPRIL CAPTOPRIL-HYDROCHLOROT CAPXIB CARAFATE CARBAMAZEPINE CARBATROL CARBIDOPA CARBIDOPA-LEVODOPA CARBIDOPA-LEVODOPA-ENT CARDENE CARDIZEM CARDURA CARTEOLOL CARTIA CARVEDILOL CATAPRES CATAPRES-TTS CAVERJECT CAZIANT CELEBREX CELECOXIB CELONTIN CEREBYX CETIRIZINE HCL CHATEAL CHENODAL CHILDREN'S CHLOROTHIAZIDE CHLORPROPAMIDE CHLORTHALIDONE CHOLESTYRAMINE CHOLINE CIALIS CILOSTAZOL CIMETIDINE CITRANATAL CLARINEX CLARINEX-D CLARITIN CLARITIN-D CLEVIPREX CLIMARA CLOFAZIMINE CLONIDINE CLOPIDOGREL C-NATE COGENTIN COLESEVELAM COLESTID COLESTIPOL COMBIGAN COMBIPATCH COMFORT COMPLETE COMPLETENATE COMTAN CONCEPT CORDARONE COREG CORGARD CORLOPAM CORVERT CORZIDE COSOPT COZAAR CREON CRESTOR CRINONE CRYSELLE CUPRIMINE CYANOCOBALAMIN CYCLAFEM CYCLANDELATE CYCLESSA CYCLOSERINE CYCLOSET CYRED CYTOMEL CYTOTEC DAPSONE DARIFENACIN
DASETTA DAYPRO DAYSEE DEBLITANE DELESTROGEN DELYLA DEMADEX DEMSER DEPACON DEPAKENE DEPAKOTE DEPEN DEPO-ESTRADIOL DEPO-PROVERA DEPO-SUBQ DERMACINRX DESLORATADINE DESOGEN DESOGESTREL-ETHINYL DESOGESTR-ETH DETROL DEXILANT DEXTROSE DIABETA DIAMOX DIBENZYLINE DICLOFENAC DICLOTRAL DICLOZOR DIFLUNISAL DIGITEK DIGOX DIGOXIN DILANTIN DILANTIN-125 DILATRATE-SR DILTIAZEM DILTIAZEM 24hr ER DILTIAZEM-XR DIOVAN DIPYRIDAMOLE DISALCID DISOPYRAMIDE DITROPAN DIURIL DIVALPROEX DIVIGEL DOFETILIDE DONEPEZIL DORZOLAMIDE DORZOLAMIDE-TIMOLOL DOTHELLE DOXAZOSIN DRISDOL DROSPIRENONE-ETH DROSPIRENONE-ETHINYL DUAVEE DUET DUETACT DUEXIS DULERA DUOPA DURLAZA DUTASTERIDE DUTASTERIDE-TAMSULOSIN DUTOPROL DYAZIDE DYLOJECT DYRENIUM EC-NAPROSYN EDARBI EDARBYCLOR EDECRIN EDEX EFFER-K EFFIENT ELESTRIN ELINEST ELITE ELITE-OB ELIXOPHYLLIN EMOQUETTE ENABLEX ENALAPRIL ENALAPRILAT ENALAPRIL-HYDROCHLOROT ENBRACE ENPRESSE ENSKYCE ENTACAPONE EPANED EPITOL EPLERENONE EPROSARTAN EPTIFIBATIDE EQUETRO ERGOCALCIFEROL ERRIN ESMOLOL ESOMEPRAZOLE ESTARYLLA ESTRACE ESTRADIOL ESTRADIOL-NORETHINDRON ESTRING ESTROGEL ESTROPIPATE ESTROSTEP ETHACRYNATE ETHACRYNIC ETHAMBUTOL ETHOSUXIMIDE ETHYNODIOL-ETHINYL ESTRA ETIDRONATE ETODOLAC EUTHYROX EVAMIST EVISTA EXELON EXFORGE
EZETIMIBE EZETIMIBE-SIMVASTATIN EXTRA-VIRT FALMINA FAMOTIDINE FAYOSIM FELDENE FELODIPINE FEMCON FEMHRT FEMRING FEMYNOR FENOFIBRATE FENOFIBRIC FENOGLIDE FENOPROFEN FENORTHO FERAHEME FERRLECIT FEXOFENADINE FEXOFENADINE-PSE FIBRICOR FINASTERIDE FLAVOXATE FLECAINIDE FLECTOR FLOMAX FLOVENT FLUNISOLIDE FLUORIDE FLUORITAB FLURBIPROFEN FLUTICASONE-SALMETEROL FLUVASTATIN FOCALGIN FOLET FOLIC FOLIVANE-OB FORTAMET FOSAMAX FOSINOPRIL FOSINOPRIL-HYDROCHLORO FOSPHENYTOIN FUROSEMIDE FYAVOLV GABAPENTIN GABITRIL GALANTAMINE GELNIQUE GEMFIBROZIL GENERESS GIANVI GILDAGIA GLIMEPIRIDE GLIPIZIDE GLIPIZIDE-METFORMIN GLUCOPHAGE GLUCOTROL GLUCOVANCE GLUMETZA GLYBURIDE GLYBURIDE-METFORMIN GLYNASE GLYSET GRANIX GUANFACINE HAILEY 24 FE HEATHER HEMANGEOL HEMENATAL HYDRALAZINE HYDROCHLORIC HYDROCHLOROTHIAZIDE HYDROXOCOBALAMIN HYDROXYCHLOROQUINE HYDROXYPROGESTERONE HYZAAR IBANDRONATE IBUPROFEN IBUTILIDE INCASSIA INDAPAMIDE INDERAL INDOCIN INDOMETHACIN INFED INFLAMMACIN INFLAMMA-K INFUVITE INJECTAFER INNOPRAN INSPRA INTEGRILIN INTROVALE IODOPEN IOPIDINE IRBESARTAN IRBESARTAN-HYDROCHLORO ISIBLOOM ISOCHRON ISONIAZID ISOPTO ISORDIL ISOSORBIDE ISOXSUPRINE ISRADIPINE ISTALOL JALYN JANUMET JANUVIA JASMIEL JENCYCLA JENTADUETO JEVANTIQUE JINTELI JOLESSA JOLIVETTE JULEBER JUNEL JUXTAPID
KAITLIB KARIVA KAZANO KELNOR KENGREAL KEPPRA KETOPROFEN KETOROLAC KIMIDESS KLOFENSAID KLOR-CON KLOR-CON-EF KOMBIGLYZE KOSHER PRENATALPLUS IRON K-SOL K-TAB KURVELO KYNAMRO LABETALOL LAMICTAL LAMOTRIGINE LANOXIN LANSOPRAZOLE LARIN LARISSIA LASIX LATANOPROST LAYOLIS LEENA LESCOL LESSINA LEVATOL LEVETIRACETAM LEVETIRACETAM-NACL LEVITRA LEVOBUNOLOL LEVOCETIRIZINE LEVOMEFOLATE LEVONEST LEVONORGESTREL-ETH LEVONORG-ETH LEVORA-28 LEVO-T LEVOTHYROXINE LEVOXYL LIDOCAINE LIDOXIB LILLOW LIOTHYRONINE LIPITOR LIPOFEN LISINOPRIL LISINOPRIL-HYDROCHLORO LIVALO LODINE LODOSYN LOESTRIN LOFIBRA LOKELMA LOMEDIA LOPID LOPREEZA LOPRESSOR LORATADINE LORATADINE-D LORYNA LOSARTAN LOSARTAN-HCTZ LOSEASONIQUE LOTENSIN LOTREL LOVASTATIN LOVAZA LOW-OGESTREL LUDENT LUMIGAN LUTERA LYZA M.V.I. M.V.I.-12 MACNATAL MANNITOL MARLISSA MARNATAL-F MATZIM MAVIK MAXINATE MAXZIDE MAXZIDE-25 MECLOFENAMATE MEDROXYPROGESTERONE MEFENAMIC MELOXICAM MEMANTINE MENEST MENOSTAR MEPHYTON MESTINON METAPROTERENOL METFORMIN METHAZOLAMIDE METHIMAZOLE METHYCLOTHIAZIDE METHYLDOPA METHYLDOPA-HCTZ METHYLDOPATE METOLAZONE METOPROLOL METOPROLOL- HYDROCHLORO MEXILETINE MIACALCIN MICARDIS MICROGESTIN MICROZIDE MIGLITOL MILI MIMVEY MINASTRIN
MINIPRESS MINIVELLE MINOXIDIL MIOCHOL-E MIOSTAT MIRAPEX MIRCETTE MISOPROSTOL MOBIC MODICON MOEXIPRIL MOEXIPRIL-HYDROCHLOROT MELODETTA 24 FE MOMETASONE MONO-LINYAH MONONESSA MONTELUKAST MULTAQ MUSE MYAMBUTOL MYCOBUTIN MYNATAL MYNATAL-Z MYNATE MYSOLINE MYZILRA NABUMETONE NADOLOL NADOLOL-BENDROFLUMETHI NALFON NAMENDA NAPRELAN NAPROSYN NAPROXEN NASCOBAL NASONEX NATACHEW NATAZIA NATELLE NATRECOR NATURE-THROID NECON NEEVODHA NEOPROFEN NEOSTIGMINE NEPTAZANE NESINA NESTABS NEUPRO NEURONTIN NEWGEN NEXA PLUS NEXIUM NEXTERONE NIACIN NIACOR NIASPAN NICARDIPINE NICOTINIC NIFEDICAL NIFEDIPINE NIKKI NIMODIPINE NISOLDIPINE NITROPRESS NIZATIDINE NORA-BE NORETHINDRONE NORETHINDRON-ETHINYL NORETHIN-ETH NORGESTIMATE-ETHINYL NORGESTREL-ETHINY NORINYL NORLYDA NORLYROC NORPACE NOR-Q-D NORTREL NORVASC NP THYROID NUDICLO NUVARING NYLIDRIN NYMALIZE OBSTETRIX OBTREX O-CAL OCELLA OGESTREL OLMESARTAN OLMESARTAN HCTZ OMEGA-3 OMEPRAZOLE OMEPRAZOLE-SODIUM OMNARIS ONGLYZA OPSUMIT ORENITRAM ORILISSA ORSYTHIA ORTHO ORTHO-CYCLEN ORTHO-NOVUM OSMITROL OVCON-35 OXAPROZIN OXCARBAZEPINE OXTELLAR OXYBUTYNIN OXYTROL PACERONE PAIRE OB PLUS DHA PAMIDRONATE PANCREATIN PANCREAZE PANTOPRAZOLE PAPAVERINE PAPAVERINE-ALPROSTADIL PAPAVERINE-PHENTOLAMIN PAPAVERINE-PHENTOLMN-A
PARLODEL PASER PEGANONE PENNSAID PEPCID P-EPHED SUL/LORATADINE P-EPHED HCL/CETIRIZINE PERINDOPRIL PERTZYE PHENOXYBENZAMINE PHENYTEK PHENYTOIN PHILITH PHYTONADIONE PILOCARPINE PIMTREA PINDOLOL PIOGLITAZONE PIOGLITAZONE-GLIMEPIRI PIOGLITAZONE-METFORMIN PIRMELLA PIROXICAM PLAQUENIL PLAVIX PNV PNV-DHA PNV-FERROUS PNV-OMEGA PNV-SELECT PNV-VP-U PONSTEL PORTIA POTABA POTASSIUM PRAMIPEXOLE PRANDIN PRASUGREL PRAVACHOL PRAVASTATIN PRAZOSIN PRECOSE PREFERA PREFERA-OB PREFEST PREMARIN PREMPHASE PREMPRO PRENA1 PRENAISSANCE PRENATA PRENATABS PRENATAL PRENATAL-U PRENATE PREPLUS PREQUE PRESTALIA PRETAB PREVACID PREVALITE PREVIDOLRX PREVIFEM PRIFTIN PRILOSEC PRIMIDONE PRINIVIL PROCAINAMIDE PROCARDIA PROFENO PROGESTERONE PROLIA PROMETRIUM PROPAFENONE PROPRANOLOL PROPRANOLOL- HYDROCHLOR PROPYLTHIOURACIL PROSCAR PROSTAGLANDIN PROSTIN PROTONIX PROVERA PROVIDA PULMICORT PUREFE PYRAZINAMIDE PYRIDOSTIGMINE PYRIDOXINE QBRELIS QNASL QUARTETTE QUASENSE QUDEXY QUESTRAN QUINAPRIL QUINAPRIL-HYDROCHLOROT QUINIDINE QVAR RABEPRAZOLE RAJANI RALOXIFENE RAMIPRIL RANEXA RANITIDINE RANOLAZINE RAPAFLO RAZADYNE RECLAST RECLIPSEN REGONOL RELNATE REOPRO REPAGLINIDE REPAGLINIDE-METFORMIN REQUIP REVATIO RHINOCORT RIDAURA RIFABUTIN RIFADIN RIFAMATE
RIFAMPIN RIFATER RIOMET RISEDRONATE RIVASTIGMINE RIVELSA R-NATAL ROCALTROL ROPINIROLE ROSUVASTATIN ROWEEPRA RULAVITE RYTARY RYTHMOL SAFYRAL SALSALATE SEASONIQUE SECTRAL SELECT-OB SELEGILINE SE-NATAL SE-TAN SETLAKIN SHAROBEL SILDENAFIL SILODOSIN SIMBRINZA SIMVASTATIN SINEMET SINGULAIR SIRTURO SMARTRX SODIUM FLUORIDE SORINE SOTALOL SOTYLIZE SPIRONOLACTONE SPIRONOLACTONE-HCTZ SPRINTEC SPRITAM SRONYX STALEVO STARLIX STAXYN STENDRA SUCRALFATE SULAR SULFASALAZINE SULFAZINE SULINDAC SYEDA SYNTHROID TADALAFIL TAMSULOSIN TAPAZOLE TARINA TARKA TARON TARON-C TARON-PREX TAYTULLA TAZTIA TEGRETOL TEKTURNA TELMISARTAN TELMISARTAN-AMLODIPINE TELMISARTAN-HYDROCHLOR TENEX TENORETIC TENORMIN TERAZOSIN TERBUTALINE THEO-24 THEOCHRON THEOPHYLLINE THIAMINE THRIVITE TIAGABINE TIAZAC TICANASE TICASPRAY TIKOSYN TILIA TIMOLOL TIMOPTIC TIMOPTIC-XE TIROSINT TIVORBEX TOLAZAMIDE TOLAZOLINE TOLBUTAMIDE TOLMETIN TOLTERODINE TOPAMAX TOPIRAMATE TOPROL TORSEMIDE TOVIAZ TRADJENTA TRANDOLAPRIL TRANDOLAPRIL-VERAPAMIL TRAVATAN TRECATOR TRIAMCINOLONE TRIAMTERENE TRIAMTERENE-HCTZ TRIAMTERENE-HYDROCHLOR TRICARE TRICHLORMETHIAZIDE TRICOR TRI-ESTARYLLA TRI FEMYNOR TRIFERIC TRIGLIDE TRIHEXYPHENIDYL TRIKLO TRI-LEGEST TRILEPTAL TRI-LINYAH TRILIPIX
TRI-LO-ESTARYLLA TRI-LO-MARZIA TRI-LO-SPRINTEC TRI-MILI TRI-VYLIBRA LO TRINATAL TRINATE TRINESSA TRI-NORINYL TRIOSTAT TRI-PREVIFEM TRI-SPRINTEC TRISTART TRI-TABS TRIVEEN-DUO TRIVORA-28 TROKENDI XR TROSPIUM TRUSOPT TULANA TWYNSTA TYDEMY UNITHROID UPTRAVI UROXATRAL URSO URSODIOL VAGIFEM VALPROATE VALPROIC VALSARTAN VALSARTAN-HCTZ VAPRISOL-5% VARDENAFIL VASCEPA VASERETIC VASOTEC VELETRI VELIVET VEMAVITE-PRX VENOFER VERAMYST VERAPAMIL VERELAN VESICARE VESTURA VIAGRA VIENVA VIMOVO VINATE VINATE-M VIOKACE VIORELE VIRT-ADVANCE VIRT-C VIRT-NATE VIRT-PN VIRTPREX VIRT-SELECT VIRT-VITE VITAFOL VITAFOL-OB VITAFOL-OB+DHA VITAFOL-ONE VITAMEDMD VITAMIN VITAMINS VITAPEARL VITATRUE VIVELLE-DOT VIVLODEX VOLTAREN VOLTAREN-XR VOPAC VOSPIRE VP-CH VP-CH-PNV VP-GGR-B6 VP-HEME VP-PNV-DHA VYFEMLA VYTORIN VYZULTA WAL-FEX WELCHOL WERA WESTHROID WYMZYA XALATAN XELITRAL XELPROS XENAFLAMM XGEVA XRYLIX XULANE XYLOCAINE XYZAL YASMIN YAZ YOSPRALA YUVAFEM ZAFIRLUKAST ZANTAC ZARAH ZARONTIN ZARXIO ZATEAN-CH ZATEAN-PN ZEBETA ZEGERID ZELAPAR ZENCHENT ZENPEP ZESTORETIC ZESTRIL ZETIA ZETONNA ZIAC ZINGIBER ZIOPTAN
ZIPSOR ZOCOR ZOLEDRONIC ZOMETA ZONEGRAN ZONISAMIDE ZONTIVITY ZORVOLEX ZOVIA ZYFLO ZYRTEC ZYRTEC-D