Dl43195u_state of nc map_v2_dl43195u_state of nc map_v2.qxd

North Carolina State Health
Plan Medication Adherence
Program (MAP)
For Retirees Taking Diabetes and Cardiovascular Medications
These medications are eligible for 2 and 1/2 times the 30-day copay for a 90-day supply at participating pharmacies. Please see the list of MAP participating pharmacies on this section of thewebsite. Please call 1-800-336-5933 for more information. Please note that generic drugs will save you the most money. Preferred brand-name medications are noted with a “(P)”.
Drugs to Treat High Blood Pressure and
Metoprolol Ext. Rel. (generic for Toprol XL) Other Cardiovascular Conditions
Propranolol (generic for Inderal LA) Cholesterol Lowering Medications
Duetact (P)Glimepiride (generic for Amaryl) Amlodipine/Atorvastatin (generic for Caduet) Angiotensin Receptor Blockers and Renin Inhibitors
Glipizide Ext. Rel. (generic for Glucotrol XL) Glipizide/Metformin (generic for Metaglip) Benicar/HCTEprosartan 600mg (generic for Teveten 600mg) Atorvastatin (generic for Lipitor)Caduet Cholestyramine (generic for Questran) Irbesartan/HCTZ (generic for Avalide) Glyburide (micronized) (generic for Glynase) Glyburide/Metformin (generic for Glucovance) Losartan HCTZ (generic for Hyzaar) Valsartan HCTZ (generic for Diovan HCT) Antiarrhythmic Medications
Amiodarone (generic for Cordarone) Pravastatin (generic for Pravachol) Metformin (generic for Glucophage) Propafenone (generic for Rhythmol) Metformin Ext. Rel. (generic for Glucophage XR) Propafenone SR (generic for Rhythmol SR) Calcium Channel Blockers
Combination Blood Pressure Medications
Amlodipine/Benazepril (generic for Lotrel) Cartia XT (generic for Cardizem CD) Atenolol/Chlorthalidone (generic for Tenoretic) Pioglitazone/Metformin (generic for ActoPlus Met) Benazepril/HCTZ (generic for Lotensin HCT) Diltiazem ER (generic for Cardizem CD) Bisoprolol/HCTZ (generic for Ziac) Felodipine ER (generic for Plendil) Enalapril/HCTZ (generic for Vaseretic) Nifediac CC (generic for Procardia XL) Nifedical XL (generic for Procardia XL) Lisinopril/HCTZ (generic for Prinzide and Zestoretic) Nifedipine ER (generic for Procardia XL) Quinapril/HCTZ (generic for Accuretic) Taztia XT (generic for Cardizem CD) Diabetes Supplies
Blood Glucose Test Strips
Diuretics
Chlorthalidone (generic for Hygroton) Antiplatelet Medications
Hydrochlorothiazide (HCTZ) (generic for HydroDIURIL) Metolazone (generic for Zaroxolyn) Dipyridamole (generic for Persantine) Spironolactone (generic for Aldactone) Spironolactone/HCTZ (generic for Aldactazide) Triamterene/HCTZ (generic for Dyazide and Maxzide) Miscellaneous Cardiovascular Medications
Ace Inhibitors
Clonidine (generic for Catapres tablets) Clonidine Transdermal Patch (generic for Catapres-TTS) Lisinopril (generic for Prinivil and Zestril) All lancets are preferred and are part of the Medication Adherence Hydralazine (generic for Apresoline) Insulin Syringes
Isosorbide Dinitrate (generic for Isordil) Isosorbide Mononitrate (generic for Imdur and Monoket) Beta Blockers
Insulin Needles
Bystolic Carvedilol (generic for Coreg) Drugs to Treat Diabetes
Metoprolol (generic for Lopressor) This list is based upon the most utilized medications in each category and is not a comprehensive list of all eligible medications for the North Carolina State Health Plan Medication Adherence
Program. To find out if your diabetes and/or cardiovascular medication qualifies for the program, please call Member Services at 1 800 336-5933. This list of medications and the program
guidelines are subject to change without notification.
October 2012

Source: http://statehealthplan.state.nc.us/library/pdf/pharmacy/mapp-medication-list.pdf