No-Cost Drug List for the Columbia Plan
The following generic medications are available to planholders of the Columbia Student Health Insurance Plan (the Columbia Plan) at a $0 co-pay, effective during the August 15, 2024 - August 14, 2025 plan year.
This information was taken from a document shared by Aetna Student Health on July 2024. Information is believed to be accurate as of the production date; however, it is subject to change.
Legend:
UPPERCASE: Brand-name medicine
lowercase italics: generic medicine
Category
Antianxiety Agents
Medicine
buspirone hcl
buspirone hydrochloride
Category
Antiasthmatic
Medicine
montelukast sodium
Category
Anticonvulsants
Medicine
lamotrigine
lamotrigine er
lamotrigine odt
lamotrigine starter kit/blue
lamotrigine starter kit/green
lamotrigine starter kit/orange
lamotrigine titration
Category
Antidepressants
Medicine
bupropion hcl
bupropion hydrochloride
bupropion hydrochloride e
bupropion hydrochloride er (sr)
bupropion hydrochloride er (xl)
escitalopram oxalate
fluoxetine dr
fluoxetine hcl
fluoxetine hydrochloride
sertraline hcl
sertraline hydrochloride
Category
Antidotes
Medicine
KLOXXADO
naltrexone hcl
Category
Antifungals
Medicine
fluconazole
Category
Antihypertensives
Medicine
losartan potassium
losartan potassium/hydroc
losartan potassium/hydrochlorothiazide
Category
Antimalarials
Medicine
atovaquone/proguanil hcl
Category
Antipsychotics
Medicine
aripiprazole
quetiapine fumarate
quetiapine fumarate er
Category
Beta Blockers
Medicine
propranolol hcl
propranolol hcl er
propranolol hydrochloride
propranolol hydrochloride er
Category
Cephalosporins
Medicine
cephalexin
Category
Corticosteroids
Medicine
methylprednisolone
methylprednisolone dose pack
prednisone
Category
Dermatological
Medicine
alclometasone dipropionate
augmented betamethasone dipropionate
benzoyl peroxide wash
betamethasone dipropionat
betamethasone dipropionate
betamethasone valerate
clindamycin phosphate/tretinoin
clobetasol propionate
clobetasol propionate e
clobetasol propionate emollient
clotrimazole/betamethasone dipropionate
desonide
erythromycin
erythromycin/benzoyl peroxide
fluocinolone acetonide
fluocinolone acetonide body
fluocinolone acetonide scalp
fluocinonide
fluocinonide emulsified base
hydrocortisone
tretinoin
tretinoin microsphere
tretinoin microsphere pump
Category
Diuretics
Medicine
spironolactone
spironolactone/hydrochlorothiazide
Category
Macrolide Antibiotics
Medicine
azithromycin
erythromycin
erythromycin base
erythromycin dr
erythromycin ethylsuccinate
Category
Medical Devices
Medicine
DEXCOM G6 RECEIVER
DEXCOM G6 SENSOR
DEXCOM G6 TRANSMITTER
DEXCOM G7 RECEIVER
DEXCOM G7 SENSOR
Category
Misc. Psychotherapeutic and Neurological Agents
Medicine
olanzapine/fluoxetine
Category
Misc. Anti-infectives
Medicine
atovaquone
sulfamethoxazole/trimetho
sulfamethoxazole/trimethoprim
sulfamethoxazole/trimethoprim ds
Category
Nonspecialty Other
Medicine
benzonatate
Category
Ophthalmic
Medicine
erythromycin
Category
Ophthalmic
Medicine
amoxicillin
dicloxacillin sodium
penicillin v potassium
Category
Thyroid
Medicine
levothyroxine sodium
Please remember that this is not a complete list of drugs covered under the Columbia Plan. Products may be subject to plan-specific copayment or coinsurance, additional charges, or other restrictions. Certain drugs, such as those for infertility, erectile dysfunction, weight loss, smoking cessation, or vitamins, may not be covered by your particular pharmacy plan. Diabetic Supplies may be covered under your medical plan.
To check coverage and copay information for a specific drug, log in to the secure member website or call the toll-free number on your member ID card.
Void where prohibited by law. Void in the State of Connecticut.
Health benefits and health insurance plans are offered, administered and/or underwritten by Aetna Health Inc., Aetna Health Insurance Company of New York, Aetna HealthAssurance Pennsylvania Inc., Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). In Florida, by Aetna Health Inc. and/or Aetna Life Insurance Company. In Utah and Wyoming by Aetna Health of Utah Inc. and Aetna Life Insurance Company. In Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Each insurer has sole financial responsibility for its own products. Aetna is part of the CVS Health family of companies.