fingolimod exemestane PRENATAL VITAMINS glatiramer letrozole folic acid teriflunomide PRENATAL VITAMINS – GENERIC CONTRACEPTIVES PRODUCTS WOMEN'S HEALTH CONTRACEPTIVES – ALL GENERIC ANTIESTROGENS PRESCRIPTION FORMULATIONS Over-the-Counter (OTC) products require a prescription. tamoxifen Coverage may vary by plan. Over-the-Counter (OTC) emergency contraceptive AROMATASE INHIBITORS products require a prescription. anastrozole Coverage may vary by plan. Please note: This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. Some strengths or dosage forms may not be included in the Preventive Therapy Drug List and certain products or categories may not be covered, regardless of their appearance in this document. Please check with your plan provider should you have any questions about coverage. Additional medications may be included in this list from time to time in compliance with Affordable Care Act requirements and/or U.S. Internal Revenue Service (IRS) guidance. This list includes medications considered preventive by the IRS; it may not include all preventive medications. ® This document contains content that is copyrighted by CVS Caremark and reprinted with permission. CVS Caremark is a registered trademark of CVS Pharmacy, Inc. 106-1038894B 010125 VERSION 1500