Preventive medications
GEHA | September 4, 2018
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.
- Single-ingredient oral dosage forms ≤ 0.5 mg
- Covered for patients age 0-5
- No gender restriction
- 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
- 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
- With prescription for women ages 35 and over for the prevention of breast cancer
- Brand (until generics become available)
- No gender restriction
- Covered for patients ages 50-74
- Low-volume products only
- 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.
- Low to moderate dose of certain generic statins for individuals ages 40 to 75.