Medication List

Important Information About Your General Motors Prescription Drug Benefit

An Urgent Reminder About Medications You Take on a Long-Term Basi

You were previously notified of a change to the prescription drug benefit under the General Motors healthcare program option you have selected. Coverage of certain long-term medications at participating retail pharmacies is now limited to a maximum of three refills (each up to a 34-day supply). After three fills, you will have to pay 100 percent of the medication's cost if you continue to fill the prescription at retail. It you fill the prescription at home delivery, then you can receive up to a 90-day supply for a single copayment. Enclosed is the list of medications for which this benefit change applies.

You or a covered dependent may be taking one of these medications and may have already filled the prescription one or more times at a retail pharmacy. Please remember that, beginning with the fourth fill at retail, this medication will be subject to a 100 percent enrollee copayment.

How to Start Using Home Delivery

First, ask your doctor for a new prescription for up to a 90-day supply, plus refills for up to one year (as appropriate). Make sure you have a two-week supply on hand before starting home delivery. If not, ask your doctor for a 14-day prescription at a participating retail pharmacy while waiting for your home delivery prescription to arrive, so you won't run out of medication.

• OPTION 1-You can mail your prescription to Medco Health. Mail the new prescription using the enclosed order form and postage-paid envelope. Your order will be delivered within 7 to 11 days after you mail the order.
• OPTION 2-You can ask your doctor to fax your prescription to Medco Health. Provide your doctor with your Member ID number (located on your medical or prescription ID card) and ask him or her to call 1.888.327.9791 for instructions on how to use our fax service. Many physicians already use this service. Your prescription order will be delivered within 5 to days after your doctor faxes the order.

Your order will contain an invoice for your required copayment and instructions on how to submit payment to Medco Health. You can also arrange to have the charge put on a credit card. You can easily refill your home delivery prescriptions online, by telephone or, through the mail.

The Medco Health website makes it easy and convenient to manage your home delivery prescription needs online. You can visit us anytime at www.medcohealth.com to order refills, check the status of an order, look up and compare medication costs, review prescription history, and much more. If you are a first time visitor to www.medcohealth.com  please take a moment to register using your Member ID number and a recent retail or home delivery presciption number. This one-time registration will help us confirm your identity and personal information and will allow you to take full advantage of the various website features.

If you need more information or want to request order forms and envelopes, go online anytime at www.medcohealth.com  or call Member Services toll-free at 1.800.864.4679. Pharmacists are available around the clock for medication consultations.

Sincerely,
Medco Health

HEALTH CARE PROGRAM supply, or at retail at 100% Copayment of Program costs for up to a 34-day supply:

Insulin
Acebutolol
Acetazolamide
Acetohexamide
Albuterol
Allopurinol
Arniloride
Arniloride/HCTZ Hydrochlorothiazide)
Amlodipine
Atenolol
Atenolol/Chlorthalidone
Atorvastatin
Benazepril
Bendroflumethiazide
Benzthiazide
Benztropine
Betaxolol
Bisoprolol
Bumetanide
Captopril
Captopril/HCTZ
Carbidopa/Levodopa
Chlorothiazide
Chlorpropamide
Chlorthalidone
Chlorthalidone/Clonidine
Clonidine
Clonidine Hydrochloride
Conjugated Estrogens
U.S.P.
Diclofenac Sodium
Digitoxin
Digoxin
Diltiazem
Dipyridamole
Disopyramide
Doxazosin
Enalapril
Enalapril/HCT
Estradiol
Estrogens, esterified
Estropipate
Etodolac
Felodipine
Flurbiprofen
Fluvastatin
Fosinopril
Furosemide
Gemfibrozil
Glimepiride
Glipizide
Glyburide
Guanfacine HCL
HCTZ/Reserpine/Hydralazine
Hydralazine
Hydrochlorothiazide
Hydrochlorothiazide/Spironolactone
Hydrochlorothiazide/Triamterene
Ibuprofen
Indapamide
Indomethacin
Isosorbide Dinitrate
Isradipine
Labetalol
Liotrix
Lisinopril
Lisinopril/HCTZ
Losartan
Lovastatin
Medroxyprogesterone
Medroxyprogesterone/Estrogens, conjugated
Metaproterenol
Metformin
Methazolamide
Methyclothiazide
Methyldopa
Methyltestosterone/Estrogens, conjugated
Methyltestosterone/Estrogens, esterified
Metolazone
Metoprolol
Metoprolol succinate
Minoxidil
Moexipril
Montelukast
Nabumetone
Nadolol
Naproxen
Naproxen sodium
Nicardipine
Nifedipine
Nisoldipine
Nitroglycerin
Papaverine
Pindolol
Polythiazide
Potassium Chloride Liquid
Potassium Chloride Tablets
Potassium Gluconate
Pravastatin
Prazosin Hydrochloride
Probenecid
Procainamide
Propranolol/HCTZ
Propranolol Hydrochloride
Quinapril
Quinidine gluconate
Quinidine Sulfate
Ramipril
Reserpine
Selegiline
Simvastatin
Spironolactone
Sulindac
Terazosin
Terbutaline
Theophylline
Timolol Drops
Timolol Maleate
Tolazamide
Tolbutamide
Trandolapril
Triamterene
Trichlormethiazide
Triihexyphenidyl
Valsartan
Verapamil
Zafirlukast;
Isoniazid
Natural Thyroid
Levothyroxine
Liothyronin
Para-Aminosalicylic Acic
Phenytoin
(Diphenylhydantoin)
Primidone
Prophylthiouracil