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