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