Who determines the tier a drug falls under?
Our Pharmacy Benefits Manager (Medco) and Pharmacy & Therapeutics (P&T) Committee, consisting of doctors and pharmacists from our community, work together to create and review the Preferred Care formulary (3-Tier Drug List). Drugs are selected based on the role they play in treating a given disease or condition. Only medications that have passed U.S. Food and Drug Administration (FDA) testing are considered for coverage.