What are the 4 tiers on the drug list?
Tier 1: Lowest Copay Most generic prescription drugs are included in this tier. For the lowest out-of-pocket expense, you and your doctor should decide if Tier 1 medications are right for your treatment. Tier 2: Medium Copay This tier includes many common brand-name (and some higher-cost generic) prescription drugs. Drugs are included in Tier 2 because they offer clinical advantages and/or lower prices than Tier 3 drugs. Some Tier 2 drugs have lower-cost Tier 1 options that you may consider with your doctor. Tier 3: Highest Copay Drugs are included in Tier 3 because they may have clinical disadvantages over other drug therapies and/or higher prices than Tier 1 and/or Tier 2 drugs. If you are taking a Tier 3 drug, ask your doctor if you could use a Tier 1 or Tier 2 drug instead, to lower your out-of-pocket expenses. Specialty Tier (SP): Coinsurance Unique or very high-cost drugs are included in this tier. You are are required to pay a percentage of the total drug costs.
Tier 1: Lowest Copay Most generic prescription drugs are included in this tier.For the lowest out-of-pocket expense, you and your doctor should decide if Tier 1 medications are right for your treatment. Tier 2: Medium Copay This tier includes many common brand-name (and some higher-cost generic) prescription drugs. Drugs are included in Tier 2 because they offer clinical advantages and/or lower prices than Tier 3 drugs. Some Tier 2 drugs have lower-cost Tier 1 options that you may consider with your doctor. Tier 3: Highest Copay Drugs are included in Tier 3 because they may have clinical disadvantages over other drug therapies and/or higher prices than Tier 1 and/or Tier 2 drugs. If you are taking a Tier 3 drug, ask your doctor if you could use a Tier 1 or Tier 2 drug instead, to lower your out-of-pocket expenses. Specialty Tier (SP): Coinsurance Unique or very high-cost drugs are included in this tier. You are required to pay a percentage of the total drug costs.
