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Medicare Advantage


                                                  Top 100 Drug List











        Looking for one good reason why a Medicare Advantage plan with prescription coverage from Blue Cross
        Blue Shield of Massachusetts is the right plan for you? This list is just a small sample of our Medicare Advantage
        plan’s drug list. We cover these eligible medications, plus hundreds of others.

        Top 100 Drugs* From 01/01/2016-06/30/2016

         Medication Name


         LISINOPRIL                          CITALOPRAM HBR                       FLUOXETINE HCL
         ATORVASTATIN CALCIUM                PREDNISONE                           LOVASTATIN

         SIMVASTATIN                         TRAZODONE HCL                        RANITIDINE HCL

         LEVOTHYROXINE SODIUM                FLUTICASONE PROPIONATE               CIPROFLOXACIN HCL
         AMLODIPINE BESYLATE                 ALLOPURINOL                          LISINOPRIL-HYDROCHLOROTHIAZIDE

         OMEPRAZOLE                          PANTOPRAZOLE SODIUM                  OXYCODONE-ACETAMINOPHEN

                                                       ®´
                                                               ®´
         METOPROLOL SUCCINATE                ONETOUCH  ULTRA  TEST STRIPS         METFORMIN HCL ER
         HYDROCHLOROTHIAZIDE                 OXYCODONE HCL                        CARVEDILOL

         FUROSEMIDE                          CLOPIDOGREL                          ALPRAZOLAM
         ATENOLOL                            TRAMADOL HCL                         MIRTAZAPINE

         LOSARTAN POTASSIUM                  AMOXICILLIN                          VALSARTAN

         WARFARIN SODIUM                     FINASTERIDE                          DULOXETINE HCL
         METOPROLOL TARTRATE                 PROAIR  HFA                          ESCITALOPRAM OXALATE
                                                    ®´
         METFORMIN HCL                       ZOLPIDEM TARTRATE                    ISOSORBIDE MONONITRATE ER

         GABAPENTIN                          ALENDRONATE SODIUM                   IBUPROFEN

         PRAVASTATIN SODIUM                  AZITHROMYCIN                         CRESTOR ®´

         TAMSULOSIN HCL                      CLONAZEPAM                           PAROXETINE HCL
         LORAZEPAM                           HYDROCODONE-ACETAMINOPHEN            OXYBUTYNIN CHLORIDE ER

         SERTRALINE HCL                      DONEPEZIL HCL                        DOXYCYCLINE HYCLATE

         LATANOPROST                         POTASSIUM CHLORIDE                   CEPHALEXIN

                                                                                                          continued
        Blue Cross Blue Shield of Massachusetts is an Independent Licensee
        of the Blue Cross and Blue Shield Association.
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