Johnson & Johnson Manufactured/Marketed Prescription Drugs

Drug Class

Alzheimer's disease Anti-Coagulants Anti-Fungals Anti-Infectives Anti-Psychotics

Attention Deficit/Hyperactivity Diabetes

Epilepsy Erythropoietin Gaucher Disease Hiv/aids

Immunizations Leukemia Multiple Sclerosis Oncology

Osteoarthritis

Manufactured/Marketed

Razadyne? Xarelto? Sporanox? - capsules or oral

Floxin? Otic

Sirturo? Invega? Invega? Sustenna? Invega? Trinza? Invega? Hafyera? Risperdal? Risperdal Consta? SpravatoTM ConcertaTM

Web Site Address

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Invokamet? Invokamet? XR Invokana? Topamax? Procrit? Zavesca? Edurant? Intelence? SymtuzaTM Prezcobix? Prezista? Covid-19 Vaccine Imbruvica? PonvoryTM BalversaTM Darzalex? Darzalex FasproTM Valchlor? Yondelis? Zytiga? RybrevantTM AkeegaTM TalveyTM Monovisc?

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Pain Management

Plaque Psoriasis Plaque Psoriasis & C rohn's Disease Pulmonary Arterial H ypertension

Rheumatic Disease

Urology

Orthovisc? Tylenol? w/ Codeine Ultracet? Ultram? Tremfya? Stelara?

Opsumit?

Opsynvi? Tracleer? Uptravi? Veletri? Ventavis? Remicade? Simponi? Simponi Aria? Elmiron?

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IMPORTANT NOTES ? BENEFIT PLAN COVERAGE

The pharmacy benefit under the Aetna HRA and Premier HSA Plans , the UnitedHealthcare PPO/Indemnity options, and the Johnson & Johnson Puerto Rico Health Care Plans provide 100% coverage for prescription drugs manufactured or marketed by the Johnson & Johnson Family of Companies. This means that if your doctor orders such a prescription drug brand for you or a covered dependent, as applicable to your Plan, you will have no copay, no deductible, and/or no coinsurance, nor will it be subject to the HRA fund.

Under the Aetna Premier HSA Plan, your annual deductible needs to be satisfied before 100% coverage. Please refer to the separate Express Scripts HSA Prescription Drug list on the FYB Web site at digital.jnjbsc for additional details about certain drugs that do not require a deductible.

This benefit also applies only to the following HMOs offered by Johnson & Johnson to active employees: Aetna HMO and Harvard Pilgrim Health Care HMO.

If your doctor determines that prescribing a prescription drug manufactured or marketed by the Johnson & Johnson Family of Companies is appropriate, the prescription must specify "dispense as written" to ensure that you receive the brand drug indicated.

This list highlights the prescription drugs manufactured or marketed by the Johnson & Johnson Family of Companies by general drug categories. You will find this list, updated as needed, on the FYB Web site. Please consult your physician regarding the most appropriate prescription drug for you and your family. Coverage of any prescription drug under the Johnson & Johnson Health Care Plans is subject to medical necessity and Plan provisions at the time the prescription is dispensed.

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