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