Preventive Medications with No Patient Cost Sharing

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.

Aspirin
  • 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) Rx
  • 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 tamoxifen 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) and Generic
  • No gender restriction
  • Covered for patients age 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.