Medication class Medication name Respiratory agents (continued) SYNAGIS TEZSPIRE TRELEGY ELLIPTA WIXELA INHUB XOLAIR ZAFIRLUKAST ZILEUTON ER ZYFLO Respiratory therapy supplies PEAK FLOW METERS SPACER DEVICES SPACER SUPPLIES Smoking deterrents BUPROPION ER NICODERM CQ NICORETTE GUM NICORETTE LOZENGE NICOTINE POLACRILEX NICOTINE TRANSDERMAL NICOTROL INHALER NICOTROL NS VARENICLINE Transdermal/topical anti-anginal agents NITRO-BID NITRO-DUR NITROGLYCERIN TRANSDERMAL 25

Health Savings Account (HSA) Preventive Medication List - Page 25 Health Savings Account (HSA) Preventive Medication List Page 24 Page 26