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Preventive medications

GEHA | September 4, 2018

Prescriptions Everyday health

Learn how GEHA promotes your health by providing preventive medications at a $0 copay with a physician's prescription.

GEHA covers the following preventative medications with a physician's prescription at a $0 copay to promote better health as recommended under the Patient Protection and Affordable Care Act. For the most up-to-date information, visit uspreventiveservicestaskforce.org.

Please note: A prescription is required to process any claim for preventive care medications or products under GEHA's prescription benefits, including over-the-counter medications.

Asprin

All single-ingredient generic oral dosage forms ≤81 mg over-the-counter only (requires a prescription) for prevention of cardiovascular disease (CVD) for age ranges 50-59;
and 81 mg generic over-the-counter for the prevention of preeclampsia after 12 weeks of gestation.
Limit of 100 units per fill applies for both populations.

Fluoride supplements (not toothpaste or rinses)

Single-ingredient oral dosage forms ≤ 0.5 mg
Covered for patients age 0-5
No gender restriction

Folic acid supplements (over-the-counter)

Single ingredient generic 0.4 mg tab
Single ingredient generic 0.8 mg tab
Gender: Female only
Covered for patients age 55 and younger
Limit of 100 units per fill

Vitamin D (Rx and over-the-counter)

Single entity vitamin D2 or D3 containing 1,000IU or less per dosage form
Combination products that also contain calcium (combination of two agents only for the combinations)
Prescription or over-the-counter (requires a prescription) for individuals age 65 and over

Generic taxmoxifen and raloxifene

With prescription for women ages 35 and over for the prevention of breast cancer

Colorectal cancer prevention - Bowel prep products (Rx only)

Brand (until generics become available)
No gender restriction
Covered for patients ages 50-74
Low-volume products only

Women's preventive service - contraceptives

Oral, emergency, injectable, patch, barrier and miscellaneous brand-name and generic prescriptions or over-the-counter (requires a prescription). Women only and limits may apply.

Statins

Low to moderate dose of certain generic statins for individuals ages 40 to 75.