These costs are decided by your employer or health plan. The prescription drug tier which consists of medium cost prescription drugs most are generic and some brand name prescription drugs.
Fillable Online Performance Prescription Drug List Three Tier
Prescription drug tier list. The more the drug costs the payer the higher the tier. List of prescription drugs covered by your plan is current as of october 1 2019. Your physician may have the option to write you a prescription for a tier 1 tier 2 or tier 3 drug as defined below. Your plans summary of benefits will have a section on prescription drug costs. A prescription drug list pdl also called a formulary is a list of commonly used medications organized into cost levels called tiers. All covered drugs are placed into one of three tiers.
Tier 4 highest cost medications that provide the lowest overall value. Each covered drug is in 1 of 5 drug tiers. Your 2019 prescription drug list advantage three tier this prescription drug list pdl is accurate as of jan. 1 2019 and is subject to change after this date. When you look up a drug the second column of the drug list will show you what tier its in. Where can i find out how much ill pay for drugs in each tier.
Also may include higher priced generics that have more costeffective options at lower tiers. Use tier 2 or tier 3 drugs instead of tier 4 to help reduce your out of pocket costs. A prescription drug list is a list of drugs available to blue cross and blue shield of oklahoma bcbsok members. For an up to date list of covered drugs or if you have questions please call unitedhealthcare. Its real cost the payers negotiated cost and whether there are cheaper options. You can find out more about how to read a drug list in our help center.
Tier 1 lowest cost prescription generic and some over the counter otc drugs. However there may be instances when only a tier 3 drug is appropriate which will require a higher copayment. This pdl applies to members of our unitedhealthcare neighborhood health plan river valley all savers and oxford medical plans. Find your plans drug list. The next anticipated update will be july 1 2019. Many tier 4 drugs have lower cost options in tiers 1 2 or 3.
But tiers are also based on drug class. Tier 3 brand drugs that dont have a generic available. The prescription drug tier which consists of the lowest cost tier of prescriptions drugs most are generic. Why drugs are listed in tiers. A drugs tier listing is a function of three things. A mix of brand name and generic drugs.
Each tier has a copay or coinsurance amount. Mostly brand name drugs as well as some generics. Tier 2 prescription generic and some otc drugs. How much you may pay out of pocket for prescription drugs is determined by whether your medication is on the drug list. These drugs are considered to be safe and cost effective.
Gallery of Prescription Drug Tier List
