You can find out more about how to read a drug list in our help center. These costs are decided by your employer or health plan.
Pharmacy Caresource
Medicare prescription drug tier list. These are the highest cost drugs including some injectables your plan may let you know when your prescription drug is moved to a higher cost sharing tier. A drug list is a list of prescription drugs your health plan covers. 1 2020 this prescription drug list pdl is accurate as of jan. Silverscript plans use a system with five medicare formulary tiers. And we do research to make sure the drugs we choose are safe effective and lower in cost. The easiest way to find out what tier your drugs are in is by using your plans drug list.
Plans include both brand name prescription drugs and generic drug coverage. Your summary of benefits tells you the drug costs for tiers. Search our formulary for covered drugs and get the information you need. Food and drug administration. When you look up a drug the second column of the drug list will show you what tier its in. The next anticipated update will be july 1 2020.
Your 2020 prescription drug list advantage 4 tier effective jan. Tier 4 non preferred drugs. It shows the drugs we cover the tier a drug is on any limits or requirements and mail order availability. All the drugs on our drug lists have been approved by the us. 1 2020 and is subject to change after this date. These prescription drugs are lower in cost than tier 5 tier 5 specialty.
In general the higher the tier the higher the members out of pocket cost for the covered drug. A medicare part d drug list formulary is a list of drugs covered by a plan. Formularies are developed to meet the needs of most members based on the most commonly prescribed drugs including certain prescription drugs that medicare requires that we cover. A prescription drug list pdl also called a formulary is a list of commonly used medications organized into cost levels called tiers. The formulary includes at least 2 drugs in the most commonly prescribed categories and classes. Each tier has a copay or coinsurance amount.
Each covered drug is in 1 of 5 drug tiers. Outpatient health care or medicare part d prescription drugs. Most medicare drug plans medicare prescription drug plans and medicare advantage plans with prescription drug coverage have their own list of what drugs are covered called a formulary. Silverscript medicare part d formulary tiers indicate the level of cost sharing for a covered drug. List of prescription drugs covered by your plan is current as of october 1 2019. Generally the lower the tier the less you pay.
Its also called a formulary. This pdl applies to members of our.
Gallery of Medicare Prescription Drug Tier List
