The OPEH&W Health Plan reserves the right to adjust this list from time to time as required.
If in doubt, contact the Health Plan Administration Office to verify whether a covered medication is subject to a Quantity or Age Restriction.

  Quantity or Age Restriction Medications
      Acne Medications (Topical) such as:
            Tretinoins (Retin A) for ages 26 and older
      Analgesics (Opioids) such as:
            Oxycontin
      Anaphylaxis Therapy such as:
            Epipen
      Antiemetics such as:
            Emend
      Anti-fungal Agents such as:
            Lamisil
      Blood Glucose Monitoring Devices such as:
            Glucometers - One Per Year
      Compounds, up to $300 Maximum Limit Per Script
      Influenza Agents such as:
            Tamiflu
      Insomnia Hypnotics or Sleep Aids such as:
            Zolpidem (generic name for Ambien)
      Migraine Agents such as:
            Sumatriptan (generic name for Imitrex)
      Non-Steroidal Anti-Inflammatory Drugs such as:
            Keterolac (generic name for Toradol)
      Tobacco Cessation such as:
            Chantix
            Bupropion (generic name for Zyban)
            Gum - Over-The-Counter
            Requires a prescription
            Limited to 2 sessions or 180 days per year
            E-Cigarettes, Nasal sprays or inhalers used for tobacco cessation are excluded